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� <br /> CITY OF ORONO - BIIILDING PERMIT APPI,ICATION <br /> Total Fee: $ l,}',,,1- (cJ Date Received: ��y�:�`>r� <br /> Date Approved: <br /> Entered By: � ,�'� pe�it�: G�%Y <br /> ALL INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE P7�AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------ ----------�------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> �---_____ . <br /> JOB SITE ADDRBSS: �S�O ��r'o�h � �� ZIP: <br /> (work) <br /> NAME: OF OWNER: �c,i� G✓��e- PHONE: (home) �7;; UZ�`f <br /> MATZ�ING ADDRESS: �� �p�'r� �� CITY: f��•.5J ZIP: <br /> �`i <br /> CONTRACTOR: � � ��..�ar���. `�-a.•1 W�C,l �' PHONE: �� �� i+2 X <br /> iKAILING ADDRESS: �''•P"j'�f C..)��.-�.;.w..,;,4 c�: 1; CITY: �° �,' �F� ZIP: 44`'. d <br /> STATS LICENSE: � 5� �O <br /> ARCHITECT/ENGINEER: �� ��-�.�, PHorrE: �3Y-lr�i <br /> MAILING ADDRBSS: ;,�; � fi �'�}~� �:<.�,.�iy.f !���1 CITY: t;r-� c: .•� ZIP: <br /> N�: RBGISZ�TION tt <br /> TYPE OF WORK� New Addition �/ Accessory Struczure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WOFtR (describe in detail) : �c.�<c�.-� ��0-�-1 � �-�� W'` '�` r 1 � �n <br /> STORIES: � SQ. FEBT OF EACH FLOOR: l f'�`� <br /> NO. OF BgDROOMS: GARAGE ST1�LS: ATT. DET. <br /> . ����� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ � f� <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 will be in accordance with the approved plan. � <br /> �% !r' �-- l <br /> APPI,ICANT'S SIGNATIIRL: >� -.•...f 1 ,t....�� D�TE: Y <br />