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�,. <br /> CITY OF ORONO - BUIZDING PER�IIT APPLICATION <br /> Total Fee: $ <br /> ti:-<���. 3�, Date Received: <br /> Date Approved: <br /> Entered By:�,(r permit tt: ,���.�.� L� - <br /> AT•T• INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PI+AN REVIE�1 �� B$ STARTED <br /> t See Check-off List Encl.osed) <br /> ------------ <br /> ------------------------------- -- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDRSSS: v� D �� C�CfSC-U 1 ��h � �. ZIP: ��� / <br /> (work) <br /> NAM}3 OF OWNER: � 1/( 'f- I Q \ n r PHONE: (home) <br /> MATLING ADDRESS:;,;Z�v�.7 CuS�-O ��Ih�� CI�'= ZIP: S ? / <br /> CONTRACTOR: �'Jh � f"(�' Y' PHONE: - <br /> �- �,� CITY: 5 ZIP: �S <br /> MAILING ADDRESS: 'oZ �^ �S S <br /> STATE LICENSE: # a�o9 a9 '�� <br /> ARCHITECT/ENGINEER: PH�� <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTR�TION T <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> ' r <br /> PROPOSED WORR (describe in detail) : `y't-b <br /> STORIES: SQ. FEET OF EACH FLO�R= <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �^, �d <br /> �STIMATF.D CONSTRTCTION VALIIATION (excludi.ng Iand) : $ � � ��-/� <br /> I hereby apply for a building permit and I acknowledge that the informatic.� <br /> above is complete and accurate; that the work will be in conformance with t�.��- <br /> ordinances and codes of the City and with the State Building Code; that �` <br /> understand this is not a permit and work is not to start without a permit; anc. <br /> that the work wil 1 be in accordance with the app roved plan. • <br /> �yf \ DATE: pC -I�'Ga D <br /> APPLICANT'S SIGNATIIRE: /C.LZ��C <br />