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' CITY OF ORONO - BIIIZDING PERMIT APPLICATION <br /> Total Fee: $ ��" � � 5 Date Received: � �'�j� �S� <br /> Date Approved: <br /> Entered By: ' �,�-L � �. �, �5� <br /> Permit�. <br /> AI�I. INFORMATION MIIST B$ SIIBMITTSD IN FUZI+ BEFORE PLAN REVIEW WII,L BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------- <br /> THE A.PPZICANT IS: (circle one) OWNER o CONTRACTO� <br /> � � <br /> JOB SITE ADDRSSS: �� '-r� �j �o�G �a�, ZIP: �����' <br /> (work) <br /> , C1 �� <br /> ��ME OF OWNER- ��,T�iR-� ��ZL��'�(ti� PHONE: (home) ��(.� J c,����'� <br /> _t•fATzzx� AnDx�ss: �SS� ��; � i cz�: ,/�'i� �, zzP: ��3 S� <br /> CONZ'RACTOR: �i R PHONE: �SC� � 7�'C�� <br /> ,� ;,�� �i�D����J c�►� <br /> e�ATT•iNc �nx�ss: �l r�i-� ���-l�51-t � �� i�f cz�: ��j����l�,�,.�_ zzP: �S��l <br /> STATS LICENSE: � (,�(�, a Z�� <br /> ARCHITECT/ENGINEEE�: G�7�(.D y -i����TJ L�>i PHONE: ��<' ' �l�U / <br /> MATLING ADDR$SS: G�I i.�C� ��Z.�'..k�l-�"ll�� L�� CITYs �.�i��%U�'7`" ZIP: ��`t�`}��� <br /> ��: �j�'�;,� �j�.j✓l, RSGISTR�TIOH A /l/f} <br /> TYPE OF WORR: New Addition� Accessory Structure Move <br /> Demo Re.*nodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : f�b� ���'�L��T�'^-} �M�' l�cr��'"L ��'`����� <br /> �k i�T;�=t> ?� 5 r�`.���..! �'rz��l'� <br /> ► <br /> STORS$S:_(_ SQ. FEST OF EACH FLOOR: f`��v'� <br /> NO. OF BSDROOMS:�� GARAGE STAI.LS: ATT. � DET. U <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding I.a.nd) : $�� ��U � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is cou�plete and accurate; that the work will be in conformance with the <br /> crdinances 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 /> t�at the work will be in accordance with the approved plan. . <br /> A.PPLICANT'S SIGNATURE: C��-'r � DATE: � f 1� _ ��� <br />