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� <br /> � " CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total r ee: $ U�`��� �`= Date Received: � ' �g ` I� <br /> Date Approved: <br /> Entered By: ' ' �� ��� <br /> _ ,., <br /> Permit#: i 1-ti �� � <br /> AT•T. INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------ <br /> --------------------------------_,.�-------------------------- <br /> THE APPI,ICANT IS: (circle one) WNER or ONTRACTOR <br /> JOB SITE ADDRSSS: ���=-_ ��i�L�,.��_���_ ZIP: <br /> Z`i `�O � 5� �rNT (work) � "_: r. ;;..,..,: <br /> NAML OF OWNER- ►J����' � �' `��S`��'� �t � ]'✓��� ��L PHONE: (home) ���`�-/..3d/ <br /> l�L ZIP: SJr �� � <br /> MAILING ADDRESS: 1��c� �- �-j- IFF �E�r1U CITY: Dv,''n5'�'� � <br /> CONTRACTOR: �i�N�i l- rt����✓SC� '��1'��-> :� V�C. PHONE: (��I �I` I 30 I <br /> MAILING ADDRESS: t �v''hSv� ��i ZIP: S 5 3,� � <br /> STATE LICENSE: '� .�' .-� --{� ,�t'_�- r' (i�:. ;..., <br /> . .� ,� �> -, E �� �rt�:;t PHONE: <br /> ARCHI�'EC`£/ENGINEEF _, . � <br /> MAILZfiTG �UFt�S5: - ---- 7,IPz--- <br /> NAME: ,� _: . , `. !�Y,� RATION # <br /> ! � � ,� <br /> TYPE OF WURR: New ���,�� ; -�-� .; ,. � ._ y Structure Niove <br /> Demo Rem _ Land Alteration__ <br /> ��_� ,� '- i �/ � / <br /> PROPOSED WORR �des� ��'� ,�^ ,�yr � ..��, �2 T�` I^^��� f��..'7��IUZt3 <br /> � <br /> STORIES:_�_ SQ. FEET OF EACH FLOOR: I S�� i � �� � NV � 7 q'� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT._ 3__._ DET. <br /> ESTIIKATED CONSTRIICTION VAI�IIATION (excluding 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 /> ordinances and codes of the City and with the State Buil3ing Code; that I <br /> understand this is not a permit and work is not to start without a permit; an� <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATIIRE: � � DATE: I <br /> �� �.5 <br />