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CZTY OF ORONO -� 33tJii.DZNG PERMIT APPLICATION <br /> r ,/� E. f' <br /> Total Fee• $ � � ��-' Date Received: <br /> Date Approved: <br /> �. . <br /> Entered By: .: _<., � <br /> Permit tt: �. ,'_� `! <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILZ� BEFORE PI�N REVIEW WILL BE STARTED <br /> (See Chec}c-cff List Enclosed) <br /> ------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDRSSS: ��� � �� �������L� �1� ZIP: 7 �.S��� <br /> (work) <br /> N� OF OWNER: �/9"C�/f ����' � PHONE: (home)���_�-�7.L <br /> MAILING �DxEss: �/G' S �s. ,�C�c ti'���c ��� cz�: �,�/-�'�/a zzP: �5 3y/ <br /> CONTRACTOR: 5��� /� �f l N C� PHONE: ��--5 l O ��� <br /> MATLING �Dx�ss: L/l DO �XC�LSio/� ���>cz�: Sl' C�u�s �ij-.��Z1P: 5" SY�� <br /> STATE LICENSE: '� ��' j C% <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�ME: REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :��� ��a�/' �� .�C �`'��� /fG'e��� <br /> �- ���r�,���.C-� - <br /> � <br /> , STORIES: SQ. FEET OF EACH FLO�Rs <br /> NO. OF BEDROOMS: G�GE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �J �GC% <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 aporoved plan. <br />� APPLICANT'S SIGNATURE: i.�. �1,�1��`�✓ DATE: � <br />