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,. � . CITY OF ORONO - BQILDING PERMIT APPLICATION <br /> ,� � Date Received: �� ' � ��� <br /> Total Fee: $ C� �'�� - <br /> Date Approved: <br /> Entered By: ' ��''•�-t-� <br /> Permit�: � (J�'� <br /> AI�L INFORMATION MIIST BE SIIBMITTBD IN FIILL BEFORE PI.AN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> ----------------- i- ---------------------------------------- <br /> ------------------ _. <br /> THE APpLICANT IS: (circle one) OWNE � or CONTRACTOR <br /> . j �j <br /> JOB SITE ADDRRSS: �_��, .-,�l,G, �:,: ,-t_ ���..... 1. ZIP: ---- <br /> �����,��-'�i t 4/f,� <br /> �--- _- -( '��„ PHOxE: (home)`C %i- /.jG=-� <br /> NAME OF OWNER: �.�<. i� • <br /> � � � ._� <br /> MATZ,ING ADDR.ESS:, -�`1C:,C ���`�� ,.. �t .. h< CITY:`:._� ) . - � ;�, ' ZIP: a `'�( � ; <br /> ..�-���_ �� � -��.. � PHON$: <br /> MATZING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGZr1� PHONE: <br /> -_ _ -" CITY: <br /> M.AILING ADDRSSS: �� — - ZIP: <br /> _ <br /> N�: RSGISTRATION � <br /> TYPE OF WOFtR: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> `_. , <br /> PROPOSED WORR (describe in detail) : �•� �.. y� � ` '' � <br /> STORI$S: �_ SQ. FEST OF EACH FZOOR: '�5'cs'Yf % %�/ �`� � � � > -z. <br /> NO. OF B�DROOMS:� GARAGE STAI.LS: ATT. �_� DET. <br /> s <br /> l l�` �, <br /> ESTIHATED CONSTRIICTION VALIIATION (eacluding land) : $ � <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 /> c�dinances 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 SIGNATQ�2E: M �--`a``-`t_ . DATE:�� -��..� ���� <br />