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�;�OF ORONO - BUII�DING PER�IIT APPLICATION <br /> Total Fee: $ �� � �-5 Date Received: <br /> Date Approved : <br /> � <br /> Entered By: ,�--(� permit n: ���"-.-� <br /> AT•T• INFORMATION MIIST B$ SDBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------- <br /> ---- --=�----------------------- <br /> ------------------ <br /> TgE APpLICANT IS: ( circle one) OtiVNER�or CONTR.ACTOR <br /> �_ ,_ / _,_ ._. <br /> �:�- �c��c« �L/��2-�C'c L-c;'/�-�'j�.`1�� Z IP: ,7� 3� � <br /> JOB SITE ADDRSSS: l�%L � <br /> (work) <br /> � � U = jL`�-��E�i� PHoxE: (home) y��� �7.jy� <br /> NAME OF OWNER: �- <br /> � �'��' ' L-,d--� z zP: S� 3:��:. <br /> MAII,ING �D�SS: �� y��� �` �I�: y <br /> CONTRACTOR: /� �'�" �� `" PH�� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: pH��� <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> TYPE OF WORR� New Addition Accessory Structure Mvve <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : <br /> �L ,��� v J .t;'�-c--' :.Y 1 �/�-//�=S - <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET. <br /> ESTIIKATED CONSTRIICTION VALIIATION (ezcluding landl : $ �� UCU <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 wi�ha�hl <br /> ordinances and codes of the City and with the State Building Code, <br /> understand this is not a permit and wo�k is not to start without a permit; and <br /> that the work will be in accordance w', the approved plan. <br /> -�;��i,, '�i�h�' /�'�� - - �,�� %"� <br /> APPLICANT'S SIGNATORE:- -�'" / - DATE: � <br />