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� � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ ��� ��, ��� Date Received: � �a �5 <br /> Date Approved: <br /> Entered By: � ' � . <br /> %.;;-� � �' �' <br /> Permit�: �� <br /> AT•T• INFORMATION MIIST B$ SIIBMITTSD IN FUI�L BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPI.ICANT IS: (circle one) OWNER�or CONTRACTOR <br /> JOB SITE ADDR$SS: �`/�/C Gr-�SC'.�� P 1- �C.�, }, � f`c�6�c, �t aJ - ZIP: SS��/ <br /> K,;,-�l�k.�work) (C 7-���s�/ <br /> NA�"+� OF OWIdER: /�ojN�1 T F�S l�l�;�ti ( �L� �, A - S%cn�c'�rs PHONE: (home) �/7�- //7z <br /> �iAILING ADDR.ESS:�y`�L> �SC D F'%- �c� � CITY: L'�k' ON Cp ZIP: SS ..3� / <br /> CONTRACTOR: �� ;; PHONE: <br /> :KAILING ADDRBSS: CITY: ZIP: <br /> �TATS LICENSE: � <br /> ARCHITECT/ENGINEER: /�./� PHONE: <br /> ��AIZING ADDRSSS: CITY: ZIP: <br /> S�: RBGISTRATION � <br /> 'YPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> PROPClSED WORK (describe 1II detail) : no��y�z ��s/,�<" �' `�c�N C�tJlec / tor-�L�ne) - B�lV�C <br /> �'lA�c1.I �xie, �otr ZcJ1 LL �c ��� t�i�i o'r�r czY-�4 c-� �i�:�T,�:: <br /> STORI$S: I SQ. FEBT OF EACH FI,OOR: ,'�.C C <br /> ?d0. OF BBDROOMS:�_ GARAGE STAI�S: ATT.�_ DET. $' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ %3}c�-t^ <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 /> :.nderstand this is not a permit and work is not to start without a permit; and <br /> �nat the work will be in accordance with the approved plan. � <br /> , <br /> APPLICANT'S SIGNATIIRE: � � 1 � Y� DATEs 7�t`S�j�,� <br /> L��� <br /> tr°"' <br />