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.� ' . <br /> CITY OF ORONO - BIIILDING PER�LIT APPLICATION <br /> Total Fee: $ ��� 7� Date Received: � � � ��a � ��- <br /> /�� Date Approved: <br /> Entered By: ' C r� <br /> Permit�: �7 1_.� <br /> ALL INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PI,AN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: ZIP� <br /> (work) <br /> N� OF OWNER:��QUG�% '�A�»�??Lc:iC�' PHONE: (home) ��r� .��y`.3 <br /> MAILING ADDR.ESS: //Iy C��YIN,��,^�" :�VP CITY: /� Os� !'f ZIP: S.S ��� <br /> CONTRACTOR: �N. U � 'kJ�I 1 PHONE: S Sr � `�0<<� �v <br /> �3AII,ING ADDRESS: 5�lv/5 /�l�%� f'�U.��� l� � CITY:�yrY►o t� rk ZIP: 5 ��`f Z <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEEF2: PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> N�r: RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure� Mone <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : <br /> STORIBS: � SQ. FEBT OF EACH FLOOR: �� <br /> NO. OF BEDROOMS: GARAGS STAI.I�S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ IG Gn <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 /> snderstand 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 /> APPI�ICANT'S SIGNATORE: � DATE: %7 i`� -�� � <br /> i,� I <br />