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, � �` • '� CITY OF ORONO – BIIILDING PERMIT APPI,ICATION <br /> Tota]. Fee: $ /��� � �-" �JJ _��"'No� Date Received: <br /> �s11�r_,;-...�! � r� �� <br /> .. 1 `/� . .�� <br /> Date Approved: <br /> Entered By: � • �'2'` permit�: ��(`�5 <br /> �AUG 8 �995 <br /> ALL INFORMATION MIIST B$ SDBMITT� IN F'UL.L BEFORE PI.AN REVIEW WILL B$ STARTED <br /> (See Check-aff List Encl.osed) <br /> THE APPLICANT IS: (circle one) OWNER or ONTRACTOR <br /> JOB SITE ADDRSSS: �,j S '� �vrvr ��].�� al� cl ZIP: <br /> (work) <br /> ?;� oF owr7�t: Q;, ,, a � �.rt G u � [' `i PHoxE: (home) �/73� �S y9 <br /> MAILING ADDRESS� f,$" 31 �� �� r�Q �,1 � � ,a�✓/ CITY:�p �(.�D ZIP: ��.��3 <br /> CONTRACTOR: �2. f - �s� ��. � �o(��,e2 s ��� PHONE: rI S �"' �/.Z .Z �—. <br /> MAILING ADDRESS:�� �;p I7 s" ��1�v �� /�U.�� CITY: /��}�t S'�' �1 ZIP: .�5�j��� <br /> ST�TS LICENSE: � 7 Ff S" � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRBSS: CITY: ZIP: <br /> ri�: RSGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Strncture Move <br /> Demo Re.*nodei/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : cT � `�4 N �! h' '���S r f �+�' �s �Je c: �` <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAG$ STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �p(1 O o o 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 /> t'�at the work will be in.�.�e�s�rdance with the approved plan. . <br /> \ <br /> APPI�ICANT'S SI6NATQRE: . � ?2.�f DATE: �- �� .'� <br /> �_ <br />