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.. .� <br /> , ' ' , CITY OF ORONO - BIIII,DING PERMIT APPLICATION ""' <br /> Total Fee: $ %'�/, �J C' Date Received: •-�,Z- 9� <br /> Date Approved: <br /> Entered By: � �'`/, Permit�: /��/� <br /> AT.T• INFORMATION MIIST B$ SUBMITTSD IN FIILL BEFORE PLAN REVIEW WILL BB STAR�ED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> TSE APPZICANT IS: (circle one) OWNER r CONTRACTOR <br /> JOB SITE ADDRSSS:,2.S.z S ��r'-!/� /�- v� ZIP: .S.S--��! <br /> (wo rk)-S-Z�5�,�' � <br /> NAME OF OWNER: ��i9.�;�1' � % i?�y�,� PHONE: (home)`7;7�1��,� <br /> MAILING ADDRESS: �.f.2S s�a/Tv �'`.t CITY: �cf. s�� ZIP: _�",5��/ <br /> / <br /> CONTRACTOR: '��� PHONS: ^ <br /> MAILING ADDRESS: `— CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: - PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> N�: RBGISTRATION � <br /> TYPE OF WORR: New Addition � Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) ;,�dd H�'w ��`���y.C�o�_�,���a�� � <br />� �, <br /> STORIES: / SQ. FEST OF EACH FLOOR: ..� <br /> NO. OF BSDROOMS: GARAG$ STAI.LS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ���,S.�o 00 <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 /> A.PPLICANT`S SIGNATORE: / � �^ DATE: .�,Z^ l� <br /> i�� <br />