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} � <br /> �' � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee• $ Date P.eceived: ��'�7�9i� <br /> Date P_pproved: <br /> Entered By: ' . <br /> Permit Q: <br /> ALL INFORMATION MDST BE SIIBI�iITT� IN FULL BEFOKE PLAN REVIEW WII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T'HE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR.BSS: G`��7 5 �L�'�-�� 5�C�2 ��� ZIP: <br /> (work) <br /> NAME OF OWNER s '� PHONE: (home) �/7�S��b S Y <br /> ( �t,� � ��a_._ <br /> I�SAII,ING ADDRESS: c.�-- CITY: ZIP: <br /> � <br /> CONTRACTOR: �'�zZ v"l ���5 r On��. �n L PHONE': S�2'���S� <br /> IKAII,ING �Dx.�ss: �,I �ba ���..( �� �d cz�r:���h2�.-���k�--� zzP: SS��S_ <br /> STATS LICENSE: � �5 ��Z_. <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDR$SS: CITYs ZIP: <br /> N�: RBGISTRATION � <br /> TYPE OF WORR: New Addition�_ Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe i.n detail) : /% '�,�i � ��(��� � ��-S�"-� �'T� <br /> STORI$S: / SQ. FEST OF EACH FLOOR: 1/ 0 - <br /> NO. OF BSDROOMS: GA.RAGE STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $ ��S 75� �`" <br /> I hereby apply for a building permit and I acknowl.edge that the information <br /> above is compiete 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 � <br /> understand this is not a permit and work is not to start without a permit; anc? <br /> that the work wil 1 be in accordance with the approved plan. � <br /> ,._. � ,, I <br /> APPLICANT'S SIGNATURE: �`., � �`..< �.� ' DATE: V CT� Z�] . ��Z <br />