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- CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> � • � � 30 - q/ <br /> Total Fee• $ '��� � � Date Received: �� <br /> Date Approved: <br /> Entered By: ' �'��'� <br /> Permit�: `f�� <br /> ALL INFORMATION MIIST BE SIIBMITT� IN FIIL.L BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR� <br /> JOB SITE ADDRSSS: ,�.�`� � C P�. � � �,``r+.r.�r ZIP: S J 3 9 � <br /> (work) <br /> NAML OF OWNER: ��a-} � ''t ,��-�, � �.fl.�a`��` PHONE: (home) ��� I-� 8 ZZ U <br /> I�fATLING ADDRESS: �; a.cv-t::: CITY: C-�c c�r�.�c� ZIP: <br /> CONTRACTOR: W �C�� � n • ,c �.''�-,.� ,`...� ^F c PHONB: 4'L a - �.? '? ;?, <br /> MAIZING ADDR.ESS: �7 �"�� � r 1•,+- �,.� N o CITY: Mc��:;'�c (.,o�cst�: ZIP: "`,�'W:+�`r <br /> � <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: f1 � /!- PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> N�: RRGISTRATIOA tt <br /> TYPE OF WORK: New k Addition k' Accessory Structure Move <br /> Demo Remodel/Alteration_ �C Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : R o o r�� � �o M <br /> STORI$S: SQ. FEET OF EACH FLOOIt: <br /> NO. OF BSDROOMS: GARAG$ STALLS: ATT. DET. <br /> ESTIHATED CONSTRIICTION VALIIATION (eacluding land) : $ 2-� o a� <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 /> APPLICANT'S SIGNATIIRE: DAZ*E: 1 - .�- 5 - `�7 2 <br />