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' tii �/ �� -�' �//� <br /> ! CITY OF ORONO - BIIIZ.DING PERMIT APPLICATION <br /> Tota�l Fee- $ `'/0 �.� 5 Date Received: �� � `� r / �� <br /> Date Approved: <br /> Entered By: � ��-ti"� � <br /> Permit�: ��%� �S <br /> AT•T• INFORMATION MIIST BE SIIBMITTSD IN FULL BEFORE PI.AN REVIEW WI7�L BS STARTED <br /> (See Check-off List Enclosed) <br /> ------------- <br /> THE APPZICANT IS: (circle one) OWNER or ONTRACTO <br /> JOB SITE ADDRSSS: g�J �OVP,� t"�vvY1� Iit"l, ZIP: <br /> �4 �- <br /> (work) a333 <br /> q�2- <br /> N� OF OWNER: �ixU� ��16������ PHONE: (home) 40q-4- <br /> MAIZING ADDR.ESS: �/PcM� CITY: �rOYlO ZSP: 553�(� <br /> CONZ'R�CTOR: ��t'�P 1�l l��v��� I V1f�. PHONS: ���J -� ( �1 <br /> MATI�ING xnDx$ss: PO Cbu��� cz�: ( ,��n.rza�oc Z1P: _ �?�� I <br /> STATS LICENSE: u J�p} I��eec�2� <br /> ARCHITECT/ENGINEII2: L/ NOC��aeYl �f�Y�C.F�I�PHONE: �P�1"�� <br /> MATLING ADDRBSS: ^ CITY: — ZIP: — <br /> NAME: RBGISTRATION � � <br /> TYPE OF WORK: New Addition Accessory Structure� Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : � �� (,�ic�e X `�� �22C� ��'`�2S O� S�� <br /> `eQ��ncx �r��� � Y���1 "�"c> �rnm ,���rl nc �>� X 1�� �cl��n�j/ <br /> �OWn ` ���1. <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: — GARAGE ST�LLS: ATT. 1 DET. <br /> . �b � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ 2.� • <br /> I hereby apply for a buiZding 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 SIGNATURE: DATE: �T(��E' 4 �I� <br /> � <br />