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� ~ CITY OF ORONO - BIIILDING PERMIT APPZICATION <br /> Total Fee: $ .1�i-; `�• S� Date Received: /��-y� <br /> Date Approved: �-'� �9� <br /> Entered By: � �� � <br /> Permit�: �j�� � <br /> s <br /> ALL INFORMATION MIIST BB SIIBMITTSD IN FIILZ BEFORE PI�N REVIEW WII,L B$ STARTF•D <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: 'c�:-C`:. �'-�'� '�. T�.,�_ L� ��v f-' ZIP: _�" �_.3 �/'/ <br /> (work) ��� C!S%�S •_� <br /> N� OF OWNER- S �` ` PHONE: (home)•��1y��'�� <br /> T!� ��'.Y ,1 h� r�i✓,�� -�-- � <br /> �- L/�'' -��7 z .� <br /> MAILING ADDR.ESS: �/''c�2' � eL i /4 �c'l� �.c?_ CITY: �i�-'�- i:- �` ZIP: <br /> 4�7 ? - � f �_ � <br /> CONTRACTOR: � / C/� /C �✓' 1 � C '�+- � (, • PHOL�li: Y��C�� !-. �J � <br /> MAIZING ADDRESS:1c-�-�--".- / > , l ti ;�_ CITY: C> h C>�v c� ZIP: S �S .3� / <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINE�Z: PHONE: <br /> MATLING ADDRBSS: CITY= ZIp= <br /> y�: RSGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : /��.�.�, ..� � � Gz���12��' �- �"'��- �-- <br /> 'L v , � - ��.- c -- ' c ` <br /> STORIES: / SQ. FEBT OF EACH FI,OOR: `� S �C^' <br /> NO. OF B$DROOMS: � GARAGB STI�LLS: ATT. DET. <br /> . � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �� �-���-> �-'� <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 nd work is not to start without a permit; and <br /> that the work will be in a cor�ce�ith the approved plan. <br /> ,� � <br /> APPLICANT'S SIGNATDRE: /.- ' ��'.-!'�yt�/i?� DATE:f- `!/-�l � <br /> / <br />