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_ _ _ , <br /> . .. CITY OF ORONO - BUILDING PERI�iIT APPLICATION <br /> Total Fee: $ � C/�� � � Date Received: ,%�-�/� �� <br /> ��-�� Date Approved: <br /> Entered By: ' (` <br /> ' Permit�: 7 ��� y <br /> A�L INFORMATION MIIST BE SDBMITT$D IN FIILL BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: /y�7 �� l� .�� ,�; � <:. k.c'_ I�y�v�� ZIP: � >> ��} �= <br /> (work) �`i S�- 7�� "/ <br /> �. -i�l- �_�l u s <br /> N� OF OWNER: � Tt��i E�- � L .a`r l-liC�n.�E; r`� - t��/�L�z�,��v'`�PHONE: (home) _ - - � <br /> . ._, _�: <br /> �iA2LING ADDRESS: �y �u 1_.���., t << �a �_i.,. � CITY: •�� �-� �.,,<. �'c_ ZIP: �� '> > 5--= <br /> CONTRACTOR: �rt L t- PHONS: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATS I,ICENSE: � <br /> ARCHITECT/ENGINEER: �.��J (_��c=.`�-, PHONE: `�`�ri - _��/ [_ <br /> MATLING ADDRSSS:�`� z;L`� �C/ ih �1�.�- h�;� CITY:�--���C11'�`v,; ��� ZIP: 7 5 4�� � <br /> NAI�: l�;r.a�,' �,:ac=_u>�-'. RBGISTRI�TION � <br /> TYPE OF WORK: New Addition�_ Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : �,��i'� � ��c� c��=- �, <br /> STORIES: � SQ. FEBT OF EACH FLOOR: ���I -- <br /> NO. �F BBDROOMS: -Z—. GARAG$ STAI.LS: ATT. DET. iC//�'1 <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnd.ing Iand) : $ /� i_��� L� <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 /> i ' <br /> APPLICANT'S SIGNATDRE: �z- " - DATE: / ? j ��-j Z- <br />