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� � � . <br /> ' CITY OF ORONO — BIIILDING PERMIT APPLICATION <br /> Total Fee• $ Date Received: /�.5��� <br /> Date Approved: <br /> Entered By: � Permit�: <br /> ALL INFORMATION MIIST B$ SDBMITTSD IN FI]LL BEFORE PI,AN REVIEW WILI� B$ STARTED <br /> (See Check-off List Enclosed) <br /> TSE APPLICANT IS: (circle one) OWNER or � ONTRACTOR <br /> JOB SITE ADDRSSS: '��R� C'x< <� t�11?r�_ ZIP= S���I <br /> (work) <br /> NAML OF OWNER: ��3�z4• }�;�6 S l.t�f�- PHONE: (home) 4�(-7�!L� <br /> MAILING ADDRESS: "31U'? ���-C E1�vr CITY:���r,A ZIP: SS�`ij <br /> CONTRACTOR: T�F �r.::����:; �r�?�w�T�r.�ia 1� f.; PHONS: �i�a.- 5)�S <br /> MAII,ING ADDRSSS: ll U� CT�y (�'�:t i "} CITY: 4�'!,�p�;.,;e,1 ZIP: .5�36��' <br /> STATS LICENSE: � `j(���- <br /> ARCHITECT/ENGINEER: T'Nt, GA�L'�N`"'"d�:� ��>+�t�•:,,A�'tt•.>c� iN i PHONE: <br /> MATLING ADDR.$SS: CITY: ZIP: <br /> N�: R.BGISZ�TION � <br /> TYPE OF WOR.R: New Addition Accessory Structure Move <br /> Deino Remodel/Alteration Renovate�1�, Land Alteration <br /> PROPOSED WORK (describe in detail) : '��.� �Y�P�� �� l2��c� rx�s�t'��,n �i���=�' <br /> �P M�s."� 1f�oo�.. <br /> �TORISS: SQ. FEBT OF EACH FZOOR: <br /> i0. OF B$DROOMS: GARAGE STAI.LS: ATT. DET. <br /> :STIMATED CONSTRIICTION VALIIATION (eacluding land) : $_►�Tt�G <br /> hereby apply for a building permit and I acknowledge that the information <br /> .bove is complete and accurate; that the work wi7.1 be in conformance with the <br /> -=dinances and codes of the City and with the State Building Code; that I <br /> ;aderstand this is not a permit and work is not to start without a permit; and <br /> :�at the work wil 1 be in accordance with the approved p lan. <br /> �PPLICANT'S SIGNA2'URE: /��Q�,,.., �,J�;��R,���a, DATE: I' .d-� '��r� <br />