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� <br /> � ' ' ' CITY OF ORONO - BUILDING PERMIT A.PPLICATION <br /> Total Fee: $ Date Received: <br /> Dat� P.pproved: <br /> Entered By: � �� <br /> k �/ <br /> PermitQ: � � <br /> ALZ INFORMATION MIIST B$ SDBMITTSD IN FIILI� BEFORE P7sAN REVIEW WILL BE STARTF.D <br /> (See Check-eff List EncZosed) <br /> ---------------------------------- -- -------------------------------------- <br /> THE A.PPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR.BSS: �C��� �'C��_���F_ �A� ZIP: � �'j�� <br /> (work) 332-851. � <br /> x� oF owrr�x: �7A1/� (� d�,J�-AlL F-- �l 21� �u A 1J pHorr�: (home) �4-4�' I <br /> MAILING ADDRESS: Iq��_���.�a� �ITY:�'t1_���(� ZIP:��-2f�_ <br /> NTRACTOR: � ()4,S�L L�-���,F�J PHONE: <br /> i�iAILING ADDRESS: . CITY: ��J�Q��__/(t'�''� ZIP:�7 <br /> STATS LICENSE: $ <br /> ARCHITECT/EN \ PHONE: <br /> ;SAILING ADDRB CITY: ZIP: <br /> N�ME: REGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate�_ Land Alteration <br /> PROPOSF.D WORR (describe in detail) : � � D/ ArF, �Fl���,_(?�,l'1� <br /> STORIES:�_ SQ. FEBT OF EACH FZOOR: ��(�(� <br /> NO. OF BEDROOMS:� C:ARAGB STAI�LS: ATT. r� DET. <br /> ESTIMATED CONSTRIICTION VA�IIATION (eaclnding Iand) : $ �� �,�t,� <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 wiI 1 be in accordance with the approved plan. . . <br /> APPLICANT'S SIGNATDRE: �� ,�� � �;;.,�...+�-� DATE= — <br /> � ���� <br />