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- � <br /> CITY OF ORONO - BUIZDING PER�LIT APPLICATION <br /> Total Fee• $ ;';�,�. �S Date Received: � �D 1 � <br /> Date Approved: <br /> Entered By:��1 <br /> Permit�: �.�c, 7 <br /> AZ�L INFORMATION MIIST B$ SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILI� B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) �`OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: `�(O�o� l� ct � � {�( �c�/ ZIP: S�� 3 y� <br /> (work) �/�3 i3 �.�� <br /> N� OF OWNER• �ir ;`_ �� �- � eT'�'c--� PHONE: (home) �/��� ��; 7�1= <br /> 2dAILING ADDRESS: 7�(�, S �f��.. c :�_� P �i�C CITY: �7�,�_� ;t1 ZIP: �S�S��( <br /> CONTRACTOR: j E{--vLA <br /> PHONS: �A-t•� � <br /> MAIZING ADDRBSS: � ,4��.� CITY: S .4 v� -f' ZIP: S �} �.�, -� <br /> STATS I.ICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> 1,7�: RSGISTRATION n <br /> TYPE OF WORR: New��y� Addition � Accessory Strncture Move <br /> Demo Remodel./Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : �� C° � <br /> STORIESd SQ. FE$T OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARA�S STALLS: ATT. DET. <br /> . a� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ - G �C7 ' <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 SI6NA �� � DATE: � c� � <br />