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k <br /> "� , . <br /> CITY OF ORONO - BUILDING PER�IT APPLICATION <br /> Total Fee: $ /S -��' Date Received: <br /> Date Approved: <br /> Entered By: �'"_:� <br /> Permit�: 'S�'7``� <br /> AT•T, INFORMATION MIIST B$ SIIBMITTED IN FIILI� BEFORE PLAN RE�7IEW WILI+ BE STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------------- <br /> TgE APPI,ICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS:��`l C�SG F) �� /?Q ZIP: <br /> (work) <br /> N�ME OF OWNER: �r� CJG�l�1. / ��� PHONE: (horae) <br /> MAIZING ADDR.ESS: Z D 1I C�SCo �7 /� CITY- /��¢!/a9�?/�C ZIP: <br /> CONTRACTOR: � pHONE: � 7 Z�� S Dv <br /> MAII,ING ADDRESS: 3/(� L�'!t>eKh�� � CITY: /�OCJ�I� ZIP: :`���36� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PRO OSED WORR (describe in detail) : ��!-��L` �+� � � ��� ��Or�'C <br /> 0�C� <br /> STORIES: SQ. FEET OF EACH FI.00R= <br /> NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ 5��� <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 w rk is not to start without a permit; and <br /> that the work wi1.1 be in c rdan w th the approved plan. � <br /> APPI,ICANT'S SIGNATORE: <br /> DATE: < -z S � J�� <br />