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� ' <br /> CITY OF ORONO - BUILDING PER�LIT APPLICATION <br /> Tot�l Fee• $ r�� -�, ,�/� Date Received: �� J-�-�- `�S <br /> , Date Approved: <br /> �ntered By: � .'r> Permittt: (�- � �/ �' <br /> AT•T• INFORMATION MIIST BE SDBMITTSD IN FIILL BEFORE PLAN REVIEW WILL BB STAR�ED <br /> ( See Check-off List Enclosed) <br /> ------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) WNE or CONTRACTOR <br /> JOB SITE ADDRSSS- �`��-'� ��Y I�L�i�r cG;:l�.��c, ZIP: 5� 3% � <br /> (work) <br /> NAML OF OWNER- C'� �Y l�-c �-�� PHONE: (home) �7/-SZ�� <br /> MATLING ADDRESS: �C'.ac,X //� CITY: /�A�'.g,<«c ZIP: SS 3�jZ <br /> CONTR�CTOR: �� 1:J" �`�'�`y'`- PHONE: C� �3 -/o i i <br /> MATLING ADDRESS: CITY: �`'�'-� Frt�c ���r ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEEF22: PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> gAMg: RBGISTR.ATION n <br /> TYPE OF WORR: New Acidi_tion Accessory Structure Move <br /> Demo Remodel�jAlteratio�' x Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :T<� cl.�m c��✓ S�i ec� f�'� �2`'�'�• �"��``��'`�'S�r`� <br /> ---r <br /> �� � � � �� <br /> �2v c�� w }'� G �c; t r� �-.�I ��i ti s�:l c.�z-c� <br /> STORIES: � SQ. FEBT OF EACH FLOOR: ��Cj�` <br />?70. OF BRDROOMS: LI GARAGE STALLS: ATT. DET. _3 <br /> ESTIHATED CONSTRIICTION VALIIATION (eacluding land) : $ /jnc.� <br /> I hereby apply for a building permit and I acknvwledge 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 Buiiding 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 /> _ <br /> �__r — — <br /> APPLICANT'S SIGNATDRE: ;'`� � �;,-�-� �"- DATE: �(J Jc-�•.-r > > <br />