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� CITY OF ORONO - BUILDING PER�iIT APPLICATION <br /> Total Fee: $� (���(r� `t�� Date Received: / •-�� " � '� <br /> Date Approved: <br /> Entered By:�,('�`�i <br /> Permit#: �j'���� <br /> ALL INFORMATION MUST BE SIIBMITTED IN FIILL BEFOR.E PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OLVNER or CTO <br /> JOB SITE ADDRESS: ��QO S '�'O x ��r�(.G� ZIP: SS�� � <br /> (work) 338 • .S(o(� <br /> N� oF owrrEx: /,.�- b P.,-;f' �s t„-- PHONE: (h ome) �i/73 •y�2,�, <br /> MAILING ADDRESS: 1�og� �jK sf7'P�Pi� CITY: Qi'"�l-�'im ZIP:s�� � <br /> CONTRACTOR: �. L_.Q,y����'� C�"2�Lvr� . �✓1, r,. PHONE: �7�' Z�7 lo <br /> MAILING ADDRESS:�j?� L_P.Q.� �'�rP�i� CITY: �rpn,o ZIP: �_ S3 s(G� <br /> STATE LICENSE: # D�O Z��J� � <br /> ARC�HITECT/ENGINEER: �Q-�- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGI STRATI ON � /,S 3 j_� <br /> TYPE OF WORR: New � Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (de�cribe in detail) : /�P-�cJ G�T$�"�c�c�Z�+-� �P'� � � '' � <br /> �e�r�P. �'�.Q� o� ' , <br /> � - <br /> STORIES: Lr SQ. FEET OF EACH FLOOR: �.�� �' I6�O Sl�t <br /> NO. OF BEDROOMS: � G�GE STALLS: ATT. � DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �� Q'�� �- <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: ---- DATE: II I 3�/ 9 Z <br /> � -T <br />