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.- _ ^ - CITY OF ORONO — BIIII.DING PERMIT APPLICATION <br /> Total Fee: $ �3 ��. � � Date Received: �j'`j,Z�9� <br /> Date Approved: 9 - �� - y� <br /> Entered By: ' '�� � <br /> i <br /> Permit�: � �( � � ' <br /> A7•T• INFORMATION MIIST BE SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILL Bg STAR�ED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: '/O�GJ G�-�'�'0 1'�' Q� ZIP: <br /> (work) <br /> NAME OF OWNER: <br /> R,�(�1ti2_� �STE NS PHONE: (home) <br /> HAILING ADDRESS: CITY: ZIP: <br /> . � <br /> CONTRACTOR: K S� �`�'� 'O�.A`l t t�f�1 GS . �� PHOIJ$: `�`"��J (�E-I � <br /> MAIZING �nDx�ss: l�� �7`�`�',�'� c�a , Cz�:-P��+u �-rt{ zzP: �� ��4'l <br /> STATS LICENSE: � OC�� �LO <br /> ARCHITECT/ENGINEER: ���— PHONE: <br /> MAIZING ADDRSSS: CITY: ZIP: <br /> N�: RBGISTRATION u <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : •t'l►'�l�j-�-1 �M� Q-�0� � N i� '�� <br /> �Cu�vL l.Q�d��e- G�a� <br /> STORI$S: ( SQ. FEBT OF EACH FZOOR: �D�-� s, <br /> NO. OF BEDROOMS: GARAGB STAI�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �� �� v <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor3c 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 will be in accordance with the approved plan. • <br /> APPI,ICANT'S SIGNATOR.E: �LK�I.�D-P`I�C DA DATE: � � � <br />