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�' �� CITY OF ORONO - BUILDING PER�LIT APPLICATION <br /> • <br /> Tou�al. Fee: $ � 702� �'1 Date Received: <br /> i <br /> Date Approved: <br /> Entered By: � �1��� Permit tt: /`t�(/ <br /> ALL INFO�SATION MIIST B$ SIIBMITTED IN FDLL BEF�RE �'LAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRRSS: � � IJ����r��s�i���H N,�� ZIP: � S 3 S � <br /> (work) <br /> 'Z��i-1 �R�� c� .�C ., ,.�► PHONE: (home) t/7 3 -S �"z� <br /> NAME OF OWNER: - <br /> MATLING ADDR.ESS: �Sl/�����c�a�,� ���<< CITY: �CM1�G- ZIP: 5 S 3 � c <br /> CONTRACTOR: �'�L �.r�� s G��.�� _ PHON$: <br /> MATI,ING ADDRSSS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEE�tt: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Struczure �'( Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � r� �� S `j�=�.--- Z /x �-� <br /> STORIES: SQ. FEBT OF EACH �LOORt <br /> NO. OF BgDROOMS: GARAG'S STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ > >�lz' <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor}c 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 will be in accordance with the approved plan. • <br /> APPLICANT'S SIGNATDRE: I`-�-•sf�� �c��.� DATE: /l% `/-5� i <br />