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� � CITY OF ORONO - BUILDING PER�iIT APPLICATION <br /> Total Fee: $ ' � Date Received: <br /> Date Approved: <br /> Entered By: 91 � <br /> Permit�: <br /> AT•T• INFORMATION M�ST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI. B$ STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------- <br /> THE APPLICANT IS: (circle one) O��INER or CONTRACTOR <br /> JOB SITE ADDR$SS: �JO��-�+��0 C�' �t/ 4��r ZIP: ���/� <br /> (work) <br /> NAME OF OWNER: �r�Q�f 1/� ��� PHONE: (home) �'��/���% <br /> MAILING ADDRESS: 3J�� ( !lS�D C���4 CITY: Q ZIP: �,f�9� <br /> CONTRACTOR: — pH��� <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> � STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ^� PHONE: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> NAML: REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodei/Alteration Renovate Land Alteration <br /> � <br /> PROPOSED WORR (describe in detail) : �����K v"Ov�' J'(r � �( � <br /> STORIES: SQ. FEET OF EACH FZOOR: �� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �Q�� 6 4a <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 /> that the work wil 1 be in accordance with the aporoved plan. � <br /> APPLICANT'S SIGNATDRE: /� � / DATE:��a'' �� <br /> 7 lU//�� l(,(C'<G� �'1 /n � �f ,�/��'Or�/� l�S�7`OJitI�S, ���f /.S �'1/l�l�� . . . <br /> � � � <br /> ,��''�� /yiovZ lI`�i�i �� ��rn�, 7i�a:�r� �r;�.. G���--� <br />