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CITY OF ORONO - BIIIZDING PERMIT A.PPLICATION <br /> Total. Fee: $ � � I �� -� Date Received: /„Z,�„Z.i��i-'3 <br /> J Date Approved: <br /> Entered By: � ,(',/',�' (y > <br /> Permit�: �d �%U <br /> AT•T• INFORMATION MIIST BE SIIBMITT$D IN FDLL BEFORE PI,�N REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> --------------------------------------------,�-------�------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> �_,_.�..__.___------ <br /> • , ..�_.Y ') C. <br /> JOB SITE ADDRSSS: �� � > � �� ��< � , �' ZIP: :> i :� � <br /> (work) ! --2 `y�_7S/�-cc, �� <br /> NAML OF OWNER: �E'�'r� (�c�� =' ��" PHONE: (home) L.� 7� G�_s"i S�" <br /> MAILING ADDR.ESS: �� � / ��t Sr c� Gc`� CITY: �.',r'�, , . � ZIP: `�� .�`�' / <br /> cox�c�rox: %� ���� �� !,��•, _. ,, �c� Paorr$: �=� '7 j �,��� �Z <br /> �uzix� AnDx�ss: Y Y� c. �J�,--.�/,'� ..� cz�r: ��' ;¢'%� zzP: ����� � � <br /> i�.- <br /> STATS LICENSE: �_������ <br /> 17 <br /> ARCHITECT/ENGINEER: ��� � � ��S� l PHONE: �.l �..�S� ` (; 7 7 �. <br /> MATLING ADDRBSS: CITY: ZIP: <br /> NAI�: RBGISTRATION � <br /> �'YPE OF WORR: New Addition� Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : �- 5��.-�,,- h`��� ����'''L. <br /> STORIES: �-- SQ. FEBT OF EACH FLOOR: �� �! � <br /> :!70. OF B$DROOMS:� GARAGS ST�LS: ATT. '� DET. — <br /> ?JTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ <br /> _ hereby apply for a building permit and I acknowledge that the information <br /> �ove is complete and accurate; that the work will be in conformance with the <br /> rdinances 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 /> .nat the work will be in accordance wi�h he approved plan. , <br /> , ;�`j ✓, / , <br /> `.PPLICANT'S SIGNATDRE: !� .1'. �`" DATE: r `'" � _, <br /> / l� <br /> /')��'.j _ c,_ L i,-"�-,1� r. �/c '�1����i.c-"a'�-. /�,` i(,.. ,_� + �' <br /> � <br /> t 1. �. �-c > Y fx.c <br /> ' �d' e..,�L �-�'.�.�-�_� � ��- <br />