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, <br /> _ � ' CITY OF ORONO - BIIII.DING PERMIT APPLICATION <br /> Total Fee: $ ���� `'�-3 Date Received: <br /> ' Date Approved: <br /> Entered By:�l'f� — <br /> Permit�: (,,d�,�/' <br /> AI�.L INFORM2�TION MUST B$ SIIBMITTSD IN FULL BEFORE PLAN REVIEW WII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) WNE or CONTRACTOR <br /> JOB SITE ADDRSSS: a5a5 �c� ( � r �VL zip: 5533 � <br /> (work) �T7��J�`1��� <br /> N� OF OWNER: �,�/�11�.t��[S �" C���I �-Tr�va t� PHONE: (home) 4'7I-7�� � <br /> . <br /> MATLING ADDRESS:��.L�� CITY: [�%t[[.���jCO Ir ZIP: 5�53 3l <br /> CONTRACTOR: �S �.0 PHONS: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 1 �A,�� PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> N�: RSGISZ�tATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration �/ Renovate Land Alteration <br /> PROPOSF.D WORK (describe i.n detail) : I��O'�t.pi�� � �� `� a-�1� w�-U � �� � he.� <br /> - ov� Vu t <br /> STORI$S: SQ. FE$T OF EACH FLOOR: _ <br /> NO. OF BSDROOMS: GARAGS ST�LLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcludi.ng land) : $ � i�J �� <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 /> xppzzc�rrr�s szcrr�,�: DATE: �Q f�� <br />� _YU�..1 <br />