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, � <br /> CITY OF ORONO = BUILDING PERM.IT APPLICATION <br /> Total Fee: $ G� �'� l,� L Date Received: <br /> � <br /> Date Approved: <br /> Entered By: � -�'�-:r-t <br /> , . _ <br /> Permit�: '- � ' __. <br /> ; <br /> ALI� INFORMATION MIIST B$ SDBMITTSD IN FIILL BEFORE PI,AN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------- ---- �--------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACT <br /> ��� n � <br /> JOB SITE ADDRBSS: �3��' !VCr�,�� y_ ,� �' ����, ZIP: `�,�,�`%5 �`-��' <br /> (work) <br /> NA1�9: OF OWNER: i � � (��. �. _ �f �� PHONE: (home) y 71v-,�'_:3J ���- <br /> n / <br /> MAILING ADDRESS: > ' • ,���:. ��.�'' L�� � - ZIP: �-7�'� `��, <br /> �(; -L' � �� r�. �L�.,� CI TY: �� <br /> ��� ' . � <br /> cox�c�roR: ; : c= �cc . t� � l�.ic -> � ,. .�, 1����° PaorrB: �/ 7�� )' `/� � <br /> MAII.ING ADDRBSS: �C>(���, � � '�`)'7�'L�y� � CITY: (.�r k ZIP: �_� �i'=�� <br /> i <br /> STATS LICENSE: $ �%'(-'J�`>r; 'ZZ� _�"Z.: <br /> ARCHITECT/$NGINEER: ,.----L� PHONE: <br /> MA.ILING ADDRSSS: CITY: ZIP: <br /> AIAME: RBGISTRATION $ <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : '�i�=iv1��-����_ ��Ya.:�� ��,t;"►q�n�, �'�f�� � ��%��-�-� <br /> �- <br /> ��-�L' �`,,t�Gc[cz�'r��::;e --��''��--� - <br /> STORSES:_�, SQ. FEET OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAG$ STAI.LS: ATT. DET. <br /> _ ,-;=-- ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ������'� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> crdinances and codes of the City and with the State Building Code; that I <br /> �.:nderstand this is not a permit and work is not to start without a permit; and <br /> =hat the work will be in accordance �ith the approved plan. - • <br /> � �� <br /> �PPLICANT'S SIGNA2'DRE: �- �.� � �7 DATE: '�` � <br />