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CITY OF ORONO - BUIL��G PERMIT APPLICATION <br /> Total Fee• $ �U< <�� Date Received: �� -3� - � � <br /> Date Approved: <br /> Entered By: /`��'�r / <br /> Permit#: `�� G' S� <br /> AT•T• INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------- <br />----------------------------- __=-� <br /> THE APPLIGANT IS: (circle one) OWNER or ONTRACTO CoN�li2vc.�rtc.rN ���Au.�. <br /> JOB SITE ADDRESS: 2�a`�� 2`�''3r'' �a�� 2� ZIP: <br /> (work) �113-�3�� <br /> NAME OF OWNER: C�� � ��N'� PHONE: (home) <br /> MAIZ�ING ADDR.ESS: P.O. �X (�,� CITY: C2y5�t- 3�y ZIP: `�`�323 <br /> CONTRACTOR: �2�vs �N��25o►� ��.5� PHor�: 332-�2g� <br /> MAILING ADDRESS: 525 �• ��" ST CITY: ��1-5 ZIP: `����y <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ��2�� U`��5 ��`STC 2 PHONE: � 339 ' ���Z <br /> MAII,ING ADDRESS: 2.22 �(i12'�l-1 2Np ��' ' CITY: �P�-5 ZIP- S�� 0\ <br /> NAME: ��-� �c�p�2'�'"��r� REGISTRATION # <br /> TYPE OF WORR: New � Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration p� <br /> PROPOSED WORR (describe in detail) : �jITE ��Q�1``�� � ���-�-��'G <br /> STORIES: , SQ. FEET OF EACH FLOOR: 2Co OO� SF <br /> NO. OF BEDROOMS: GARIIGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRDCTION VALIIATION (excluding land) : $ r 2��� �� <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 will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATDRE: ��� DATE: F -�� --1Z <br /> _ � <br />