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f " <br /> , CITY OF ORONO - BUILDING PERM.IT APPLIGATION <br /> Total Fee: $ <br /> /' 3� ' � � Date Received: <br /> Date Approved: <br /> Entered By: � � permit�: � Z U �� <br /> AT•T• INFORMATION MIIST BE SIIBMITTSD IN FULL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> THE A.PPLICANT IS: (circle one) OWNER o CONTRACTOR r <br /> JOB SITE ADDRBSS:-���'-f����l�L�' 9/�� ! ZIP: <br /> (work) <br /> x.�r� oF owNBz: ,�/ �.tr� G�(!''C.r �c�G �l S P_ PHorrE: (home) <br /> MAILING ADDRESS: �C�� 7 �(�(�� C'vi� _ CITY: �j�(�} 17("�' ZIP: <br /> CONTRACTOR: l C7/�� �(Jl �'7 PHON$: P1 "l CI ` � �r� c� <br /> MAILING ADDR.SSS: ( 3 C ICGt�U (O�� CITY: Y/ISJ� � ZIP: ��-3� <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER:�����-feS � PH�NE: �� 7 — �7'7' �7'" <br /> MAILING ADDR$SS: CITY:���S ZIP: <br /> NAME: �T�(/� L K�{2U U K REGISTR.ATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate �� Land Alteration <br /> PROPOSED WORK (describe in detail) : J'�Q� �� ��!�f1v <br /> STORI$S: SQ. FEST OF EACH FLOORt <br /> NO. OF BSDROOMS: GARAGE ST�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ /'�'/�ik,0�� <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 /> APPLICANT'S SIGNATIIRE: ' DA�E: � � �-- <br />