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r '` <br /> , CITY OF ORONO - BUILDING PERMIT A.PPLICATION <br /> Total Fee: $ J � �' �0 Date Received: �-- /�- ! � <br /> Date Approved: <br /> Entered By: � ,(��� _ <br /> '' Permi t�: l���-S <br /> AIaI, INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WILL B$ STAR7.'ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �c�-3C� L-*-�jc,2.�>e�:.L 7'-�.v�c^• ZIP: <br /> (work) <br /> N�ME OF OWNER: k�,�,�,+Z, ��N .�c�=��.+�(1 PHONE: (home) <br /> MATLING ADDRESS: /�' �i; L-�t �-1,v���-`.; T-tt3 CITY: LE�,.� J� k..p ZIP:��,j'3�'� <br /> CONZ'Rl�CTOR: �).A-[.d .iu C� PHON$: y� �-��I D� <br /> �3AILING ADDR.ESS: 1 y�/� ��c� {� S� 3. CITY: r�9�.11.5 ZIP: �S'�S",3 7 �� <br /> STATS LICENSE: $ ���� .j/�C =�"'-S1- �.3 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDR$SS: Cl2R: ZIP: <br /> N�: R.BGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : �`� �cw�ct��� -�F%�cr�u �ti,c t-}ec�. <br /> �,1� J� 1.�T.S. _ .S�Ck.�,C.�"�-.,f-�.' {}(�l � *, L_ O 1Y�d�IE�.-YC. G.C�1vc [.CJYN 1'7/IQvt+C.(? <br /> STORZES:_� SQ. FE$T OF EACH FZOOR: /.SZ'Z'` <br /> NO. OF BEDROOMS: _�� GARI�GB STAI.LS: ATT. DET. <br /> ESTIIKATED CONSTRIICTION VALIIATION ( - ) : $ ���.�.��G'C' <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 /> � <br /> APPLICANT'S SI6NATDRE:, 1� � DATE: �� -1�I' y�,Z <br />