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� R <br /> � CITY OF ORONO - BIIILDING P�RMZT APPLICATION <br /> Total Fee: $ ,3O�• � Date Received: <br /> _ Date Approved: <br /> Entered By: � � Permit�: 5��6 <br /> ALL INFORMATION MIIST B$ SIIBMITTSD IN FOLL BEFORE PI�AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------- <br /> T� APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDRSSS: � �� LflM � L/Na/4- '� Z1P= �5��7 <br /> (work) <br /> N� OF OWNER: f�►Cf�lR�7 �1�/Q�� PHONE: (home) y7pZToGK(� <br /> IKAILING ADDRESS:�f�S':� L,�♦4-� �L��D�1-/�-c, cl�: Q,�9�/D zIP: 3� <br /> CONTRACTOR:_��� I� UN _ PHONS: �7�TS�� <br /> MAILING ADDRBSS:�.1� �,tJ- ZdC�L, ��f/ CITY: �8L(,/l/�i7 ZIP:_���� <br /> STATS LICENSE: � �SJOv <br /> ARCHITECT/ENGINEEIt: PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> N�: RSGISTRATION � <br /> TYPE OF WORR: New Addition� Accessory Structure Mone <br /> Demo�,_ Remodel/Alteration Renovate Land Alteration <br /> PROPOSF•D wo�x (aescribe i.n aetai�) : ��rvi8� �xrSTi.� ��r'� ot Br.�r �� NCc.c1 <br /> -.- <br /> 6�C tc — e . `�' o n��n>G 2ea�c ' ;c ' � <br /> � �C �'f . Lx�ST�n,lC !-��5-�- d �-,�4Q•�96�. <br /> STORI$S: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGB STI�LLS: ATT. DET.�_ <br /> ESTIMATED CONSTRIICTION VALIIATION (eacludi.ng land) : $ �ft�, '�7 a� � <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 /> APPI�ICANT'S SIGNAZ'URE: DATE: O ����.� <br />