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t. ♦ <br /> CITY OF ORONO - BIIILDIidv PERMIT APPLICATION <br /> Total Fee: $ / �� � � Date Received: �.� -� j��->,� <br /> Date Approved: <br /> Entered By: � ;C �-'`l Permit�: �{y� % <br /> AT•T• INFORMATION MIIST B$ SIIBMITTgD IN FDL.L BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS. (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �Z I �"C(�I �fYl.� �, ZIP: �� �� I <br /> (work) ��� � � I� ?- <br /> N� OF OWNER: � I C� �I �I P� (I-� I�.0�°� S��i�l s� �� ( I 2-� PHONE: (home) �I(,�"I z-�� <br /> MATLING �Dx�ss: 5 21 �-}�G�t�`1 f n-r� �_ cz�: `���, I�t zzP: 5 4 3�i�l. <br /> CONTFtACTOR: P$��= <br /> PSAILING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PH�NE: <br /> MATLING ADDR$SS: CITY: ZIP: <br /> NAME: R.BGISTRATION � <br /> TYPE OF WORR: New Addition ��N Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ��� ° - <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS: GARAGB ST�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $_�(�G�. `�``' <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 wil 1 be in accordance with the approved plan. ' • <br /> j � . C <br /> APPLICANT'S SIGNATDRE: Z'1�/'�% '� � DATE:'�L_ t � <br /> i <br />