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� <br /> � CITY OF ORONO - BIIII.DING PERMIT APPLICATION <br /> �, Date Received: 3'��' fS <br /> r ( /���'�i _�� <br /> Total Fee: $ <br /> _ , Date Approved: <br /> Entered By: ' / <br /> Permit�: �c%yG'/ <br /> ALL INFORMATION MIIST BB SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> THE A.PPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> JOB SITE ADDRSSS: ����%� � ���. ���'Z��'V� I��:�` ZIP: � � 3 `-� �> <br /> '(�`�`�-; (work) ��-7 "� Z `7� <br /> <} ) � /� r <br /> N� OF OWNER: �� � Lc=��L� /-�{C f� S PHONE: (home) ���'��'��✓� <br /> *�iAILING ADDRESS: ��.%(�G� �j �S�cil,�,`� CITY: 1�.� ' ��� ZIP: � � �j`.7� <br /> CONTR.2�CTOR: �t=,� �� �`7 - L�a �Jt��G-,�U ��c.KS PHorr�: �/�7G� �`��%��' <br /> MATLING ADDRESS: i ��'O !�i 1-.�`"�-� CI�': �v �� ZIP: ��J � S�- <br /> STATS LICENSE: � ���Z' <br /> ARCHITECT/ENGINEER: �� PHONE: <br /> MATLING A�DRBSS: CITY: ZIP: <br /> N�: REGISTRATION u <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Re.*nodel/Alteration_� Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : I"�%MD�" � ��� i s�� <br /> �;��-.�.� �.:r���� <br /> STORIES: SQ. FEBT OF EACH FI�OOR: <br /> NO. OF B�DROOMS: GARAG$ STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �i�>�-/C�� � <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 /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> tnat the work will be in accordance with the approved plan. <br /> � ���� 3-15 -`�.� <br /> APPLICANT`S SIGNATORE: ��� DATE: <br />