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. tl • <br /> / CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Tctal Fee: $�/,� � �C) Date Received: S�/9�9.2- <br /> Date Approved: <br /> Entered By: � -���_ <br /> Permi t�: �,2,C�C, <br /> ALL INFORMATION MIIST BS SIIBMITT$D IN FIILL BEFORE PI,AN REVIEW WII�L B$ STARZ'ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> R'HE APPZICANT IS: (circle one) OWNER or ONTRACT� <br /> JOB SITE ADDRSSS: /$� / d �r��r Tt e �'� ZIP= <br /> (work) <br /> NAML OF OWNER: (�av i c� f2�� �c�,r ca PHONE: (home) <br /> MATLING ADDRESS:�SI L� �.a +"��v. "t:�F`- CITY: �/ �,�i� ZIP: <br /> CONT�2ACTOR: -�-v'.�n���`�r- C���;-,hr�;c1'r�� l- �.. . ��:�;� 5 PHONS: �22 � �S -3�� <br /> P�W%• <br /> MAILING ADDRESS: �- j Z 7 n���.-�-� L.e�,hq�,�, �CITY: _`�f t«y� I ZSP: 5'si e'� <br /> STATS LIC:ENSE: � C�C C��%� ->yC <br /> ARCHITECT/ENGINEER: ��� PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> NAME: R.BGISTRATION � <br /> TY.PE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel./Alteration ,� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��aSc�'r�z°�it �<-���''�'-`j�+ ��'� '� e <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> �IO. OF BSDROOMS: GARAGB STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �f� a��` <br /> _' hereby apply for a building permit and I acknowledge that the information <br /> above is cornplete 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 /> �hat the work wil 1 be in accordance with the approved plan. � . <br /> ,7�PPLICANT'S SIGNATDRE:�-,.�.t � , <'�-Gt.-•5•-�-- .-�t O DATE: �'�" �/'�" <br />