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' y� *� <br /> • - CITY OF ORONO - BUILDING PERM.IT APPLICATION <br /> • Total Fee: $ r� ' ' Date Received: <br /> J �� 4... �.l . <br /> Date Approved: <br /> Entered By: � ��j . Permit�: �,,:t;<'. �. <br /> AT•T. INFORMATION MIIST B$ SIIBMITTED IN FDLL BEFORE PLAN REVIEW WII�L B$ STAR�D <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or C�YTRA O � <br /> JOB SITE ADDRBSS: � � �'1 -�? " ��4� � ZIP: <br /> (work} <br /> N� OF OWNF.�2: � ��� � � �C-\� � \�` `-��' \PHONE: (home) �1 ���� � � <br /> MATLING ADDRESS: �� O� ��� �� V�CITY• C� C C��L"} ZIP- <br /> CONTRACTOR: ��Y/v��+ ���l`�'�� . . �L'iS� ���'" PHONE: ��.�J."' (� ��� <br /> i�AII,ING ADDRESS: _��� �"c,,�lt.'TQv�1'�^' � ` CITY: '/il�° 1.A ,••• ZIP: .��,� <br /> STATS ZICENSE: � '�9di..U,`�'`�/ �St: <br /> � <br /> ARCHZTECT/ENGSNEER: ���C.�, !`i�,� �\,�� �� " PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> NAME: RBGISTRATION u <br /> TYPE OF WORRs New Addition � Accessory Struczure Move <br /> Demo � Remodel/Alteration Renovate Land Alteration <br /> � 1� <br /> PROPOSED WORR (describe in detail) : � � `(\ �\ �� <br /> �����✓"�� �i1.�� �1�'C�� C �, �✓� � �� S �j�`' ���'�'�\. <br /> ,.� � <br /> STORIBS: ` SQ. FEBT OF EACH FZOOR: 1Z-d� <br /> NOo OF B$DROOMS: Z GARAGB STAI�LS: ATT.� DET. <br /> EST�MATED CONSTRIICTION VALIIATION (eacluding Iand) : $��, 0 0� � ��j��� <br /> � 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 /> understand this is not a permit and work is not to start without a permit; and <br /> tzat the work will be in accordance with the approved plan. - � <br /> APPLICANT'S SIG'I�TATORE: ry DATE: -�'' J' � <br />