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• � ' � CITY OF ORONO UIL�� PE APPLICATION <br /> � -� ������ Date Received: <br /> Total Fee: $ _=j "> -�� <br /> Date Approved: <br /> Entered By: �('�`� - <br /> �JAN 1 ,� 1995 Permit�: ���7L� <br /> r�.. r <br /> AT•T• INFORMATION MUST BE SIIBMITTED IN FIILI� BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) O��iNER or CONTRACTOR <br /> JOB SITE ADDRBSS: `� O , �' �'� �e- N ZIP: e����or`� �o <br /> (work) <br /> NAME OF OWNER: C�js,�EN �-�[��'�r� PHONE: (home)���' ���-7' <br /> MAILING ADDRESS: 7 ��� C:� C�r�'L✓�. �✓vd� , CITY:��t��t '�/�c� �fV ZIP: �S�7rr� � <br /> CONTRACTOR: ��� 1.� PH��' <br /> MAILING ADDRESS: ��rrr�- CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: ���-17" PHONE: <br /> ^ CITY: ZIP: <br /> 1`5t�'fiLiii� :,�i.J�D.:��vC� J<i�/�)�- . <br /> p�g: R.EGISTRATION # <br /> TYPE OF WORR: New �` Addition Accessory Structure� biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �%Z �� �� � c:s /0 r f.�� � ���+�C __ <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: `�e�- <br /> NO. OF BEDROOMS: C� GARIIGE STALLS: ATT. '- DET. — <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ '���Q� <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 /> 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 wil 1 be in accordance with the approved plan. <br /> APPLICANT'S SIGNATORE: �'�. DATE: ,Ny, I ( � <br /> � <br />