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. CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> _ i <br /> Total Fee: $ �U � p�� " Date Received:� <br /> Date Approved: <br /> Entered By: ' ` � <br /> Permit�: <br /> ALI� INFORMATION MIIST B$ SIIBMITT� IN FIILL BEFORE P7�AN REVIEW WILL BB STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) �OWNER or CONTRACTOR <br /> � * S53q I <br /> JOB SITE ADDR$SS: 3(�3a L�v�has-(-b�. �e . Z=p: <br /> (work) <br /> NAI� OF OWNER: �• PHONE: (home) -l-���os�� <br /> MAILING ADDRESS:�p� ����►1,Q,b��n/�c CITY: �?� n )ZIP: SS.3�I <br /> CONTRACTOR: [�C,J r�S1N PHONS: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> STATS LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> 3�lAILING ADDRSSS: CITY: ZIP: <br /> �p,�: RBGISTRATION � <br /> TYPE OF WORR: New �/ Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � 1� � �(9 Q�'� -- R�Q�'�OO�Q b�c� c�C�� <br /> STORISS: SQ. FEBT OF EACS l�LOOR: <br /> �i0. OF BSDROOMS: GARAGB STALLS: ATT. DET. <br /> � , <br /> ESTIMATED CONSTRIICTION VALIIATION (ezclndi.ng land) : $ �, (� <br /> I hereby apply for a building permit and I ackaowl.edge 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 2 <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 SIGNATORE: DATE: �p�'�� Z <br />