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� <br /> ' CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> .' , <br /> Total Fee: $ �'�� �C� Date Received: /- ;L �- yT 3 <br /> Date Approved: <br /> Entered By: ' ,r�i' <br /> Permit�: '�%� <br /> AL.L INFORMATION MIIST BT SIIBMITT� IN FDI.L BEFORE PLAN REVIEW WILL B$ ST�iRTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------ --- �- -------------------------- <br /> THE A.PPLICANT IS: (circle one) OWNER or �.CONTRACTO <br /> JOB SITE ADDRSSS: �a�',� ,'�1��afQ � ��li �� ZIP:%'S �`�1 <br /> (work) <br /> N�ME OF OWNER: �:G R�=�y �'��s[� PHONE: (hoine) � 5 3'�i�'�� <br /> MAILING ADDRESS: /C t�,� �✓,�i�-- %`,� S�; ��'.'4.�r�.4/�� CITY: /�%���' ZIP: 'JE�� 30") <br /> ✓!�1 ) , n y r I ; ✓ �: 7,ti <br /> cox�c�rox: �F�+ � �r � �, PaoxB: '�i � / � <br /> MATZING ADDRBSS:-'�'` �<_'�°S°���"' �'�� CIZ7: ,�,�'�-'l,�� /:��1�" ZIP: j��; $ ( <br /> STATS LICENSE: � J'���� <br /> ARCHITECT/ENGINEER: ��:- �N+-A"; PHONE: �7�" <br /> 3�3 �'�- <br /> MATLING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel./Alteration Renovate�_ Land Alteration <br /> PROPOSED WORR (describe in detail) : ����"��- So�`<.� 1��`�'�� �^-'iO�/� <br /> ���+� /��.�� �o�?'�-�� �:�, ��.�.�-�' is� �/+�;,'^�"f-- <br /> STORIES: ` SQ. FEBT OF EACH FZ,OOR: �'z► �S <br /> NO. OF B$DROOMS: � GARAGE STALLS: ATT. DET.� <br /> . �� ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ /�,r.�J� <br /> -� <br /> i hereby appl.y 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 /> �hat the work will be in accordance with the approved plan. . • , <br /> �� _% �-� �' <br /> ; -' i <br /> �,.PPLICANT'S SIGNATDRE: - � DATE: � � <br />