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� <br /> - � CITY OF ORONO - BUII,DING PERMIT APPLICATION <br /> Total Fee• $ ��'�/`� _� •- Date Received: <br /> Date Approved: <br /> Entered By: �`�`:� <br /> Permit n� r" <br /> AZ�L INFORMATION MIIST BS SIIBMITTSD IN FULL BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) WNER or CONTRACTOR <br /> JOB SITE ADDRRSS: /�" �� �E� �V�n� /�� � �`� ZIP: ����11 <br /> (work) 'jj1�'4��� <br /> N�ME OF OWNIIZ:___�I 1�1� N����n PHONE: (home) �-�I ' ��1� <br /> NATLING ADDRESS: ��,1�'1�,QJ CIZ'�': ZIP: <br /> cox�c�rox: '�'�,�1�C(�-I �� Ilti�l�;��l t,1 PHorr$: <br /> =1ATZ�ING ADDRESS_ CITY: ZIP: <br /> STATS LIGENSE: � <br /> ARCHITECT/ENGINEE�22: '��K.�' �c�����rV\ ��� PHONE: ��1 ' ���� <br /> '�iAII.ING �DxBss: ��l(�1 CC��SC� �jl-►��'� Q� cz�: zzP: 553`ll <br /> xAME: �P�" , RSGISTRATION u <br /> '�YPE OF WORK: New Addition Accessory Struczure Move <br /> Demo Resnociel/Alteration ✓ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ['�,1`n(}(�(%',� ,�� ��(,J�/� ���� "C(� L�ti �M��� <br /> `�ll,�i� `'n�i(r�.� - <br /> STORIES: Z SQ. FEBT OF EACH FLOOR: (�(�`� I���' <br /> NO. OF BBDROOMS:�_ GARA�S STALLS: ATT.� DET. <br /> �STIHATED CONSTRIICTION VALIIATION (eacluding land) : $ �CJ�� <br /> = hereby apply for a building permit and I acknowledge that the information <br /> above is coinplete 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 /> that the work will be in accordance with the approved plan. . <br /> APPI,ICANT'S SIGNATIIRE: ������/l�(y// l DATE: ������ <br />