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CITY OF ORONO,- BUILDING PERMIT APPLICATION <br /> Total Fee• $ �� �� < <"I �� Date Received: :'/ - �� l � <br /> Date Approved: �� ��� -�1 �-- <br /> Entered B <br /> y� �� Permit�; l = 1�� � <br /> AT.T. INFORI�iATION MIIST BE SIIBMITT� IN FIILL BEFORE PI.AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed} <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> . � <br /> JOB SITE ADDRSSS: ���� .I t/d�i:tJ��:�_� `( )�J <`_ ZIP: `7 `7 � S ' <br /> (work) `� I�' `i u 7" <br /> N� OF OWNER: � �U'�� � ` �,C�� � � - � � K���''���� PHONE: (home),�, ��, C1�� �— <br /> MATLING ADDRESS: ��L'..�� �-��I��-� C � it CITY: L�CFi�� .�.L ZIP: �-�S � � ) <br /> CONTRACTOR: `�C�(� PHONS: `-� 1 � ���'� � <br /> MAIZING ADDRBSS: ii,6�v'�'- CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHI TECT/ENGINEER: �C�.��o�;-�___ PH�NE: <br /> MATLING ADDRRSS: CITY: ZIP: <br /> N��g: RSGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��'-'' S�t��� N�J�' "`'y i^''r�f= <br /> w' �'�-�-.� �� t�i�-3;�� .��.� �r'W�� `' ,�c`�'C�`K'�+��� ..����i��,�� ����;� 5 <br /> �� '�--�a �. <br /> T �—� �v�i� c�.•��!�u��S <br /> STORIES: Y SQ. FEBT OF EACH FZOOR: � 3L'�U -� V S' � i� �'� - 2�-' <br /> NO. OF B$DROOMS:_ '� GARAGE ST�LS: ATT.� DET. � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ .3�� a �l ✓ <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 ac " d e w � the approved plan. . • <br /> ? � S �Z-- <br /> APPLICANT'S SIGNATIIRE: �� .. DATE: � - <br />