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, <br /> i <br /> � CITY OF ORONO - BIIILDING PER.'�iIT APPLIC�TION <br /> Total Fee: $ �r% '`� � _ Date Received: j'� � �i 3 <br /> Date P.��roved: <br /> Entered By: ' • <br /> Pe=-mit� _� �� � <br /> AI�I, INFORMATION MIIST B$ SIIBMIZT� IN FLTLI� BEFORE PI�N REVIEW WIZ.L BB STARTE� <br /> (See Check-aff List Enclosed) <br /> ��������������������������������������������4����������������������������������� <br /> T3E AppI,ICANT IS: (circle one) OWNER or C�ONTRACTOR <br /> JOB SI�`E ADDR.BSS: ���� � � � P� y /�-✓'�.��'� ZIP: J�•�,�� �/ <br /> (work) <br /> �7� OF OWNER- �"�GtL 77`}-�/L � PHONE: (home) y7/ `��'��'� <br /> :SAII,ING �nDx�ss: s� 8 3 � , C2�:/1'1 t�c�� zzP: .Ss�3 G y <br /> '_ONTR�CTOR: :.� �.�-' � //��� �/t' ..!''� : PHONE: y�� � ��/ <br /> _�AIZING ADDRESS: y� 7 I /���7Y'�1 /c'.Q CITY: �G(L�� ZIP: �� s�6/�" - <br /> STATS LICENSE: ,� �r�s� <br /> ARCHSZ'ECT/ENGSNEEFt: /1�'�d7�- PHONE: <br /> :�A.ILING ADDRESS: CITY: ZIP: <br /> �,��: RBGISTRATIOA a <br /> j��c l� <br /> ^YPE OF WORK: New Addition 101 Accessory Structure Move <br /> Demo Resnodel/Alteration Renovate Land Alteration <br /> PBOPOSED WORR (describe in detail) : �'w�9�JeT T �iS i^�; 6 F 'r ��� �d�� <br /> Je�.� �,��,�� v, � io 'x�6 ' <<� ��- <br /> aTORIBS: SQ. FEBT OF EACS FLOOR: <br />�i O. OF BBDROOMS: G.ARAG� STALLS: ATT. DET. <br /> . � <br />�STI�SATED CONSTRIICTION VALIIATION (eacludinq Iand) s $ ���' <br />� hereby apply for a building permit and I acknowledge that the iaformation <br />=bove is complete and accurate; that the work will be in conformance with the <br />�rdinances 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 />:�at the work wi11 be in accordance with the approved pla.n. . <br /> �PLICANT'S SIGNATURE: � G:� � . DATE: � '� �- �-� <br />