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� <br /> , •� • ' CITY OF' ORONO — BUILDING PERMIT APPLICATION <br /> T�tal Fee: $ J��� � � Date Received: �02��I c�- <br /> _ Date Approved: <br /> Entered By: <br /> a <br /> Permit#: 3 � <br /> ALL INFORMATION MDST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �i `/� y �-�sT G-sf�'f�- � ZIP: � S I S a <br /> (work) �Z��aoa <br /> NAME OF OWNER: f�1Y/R�w f /j'1�'G���D� sG �vl�TZ PHONE: (home) �Y y �'yYT <br /> MAILING ADDRESS: � y� r ��1� G'4/r�5T CITY: OX�/'/� ZIP: ssj-s� <br /> CONTRACTOR: �eL{-' pH�NE: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> NAA�iE: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate�_ Land Alteration <br /> PROPOSED WORR (describe in detail) : (Z-�wv�,-e (�o-t s-r-�l�c�u rf.� cA�v� ���� <br /> STORIES: �-- SQ. FEBT OF EACH FLOOR: p�� j�s% y�� S�Go�'� <br /> NO. OF BEDROOMS: �-- GARI�GE STALLS: ATT. DET. �--- <br /> ESTIMATED CONSTRUC�ION VALUATION (egcluding land) : $ /$°D,mO <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 /> APPLIGANT'S SIGNATOR�:: DATE: � f� <br />