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* ' CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ��� �5� Date Received: t/ � � <br /> � i Date Approved: <br /> Entered By: �v r/ <br /> Permit�: �� `�3" <br /> ALL INFORMATION MUST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII.L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------ ---------------- <br /> THE APPLICANT IS: (circle one) 6VNER r CONTRACTOR <br /> JOB SITE ADDRBSS: �1S � �`'�� �C'. ZIP: ���� � <br /> (work) ���/-G1�`�3 <br /> NAN4: OF OWNER: �elT'� �e-�a�� PHONE: (home) ��r—OU�� <br /> MAILING ADDRESS: 3S.c�I C v�r����e CITY: � r(G n�-� ZIP: ��c,�� <br /> CONTRACTOR: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILI23G ADDRESS: CITY: ZIP: <br /> N�g� REGISTRATION ,'�r <br /> TYPE OF WORR: New Addition Accessory Structure Niove <br /> Demo Remodel/Alteration Renovate Land lteration <br /> PROPOSED WORR (describe in detail) : �Gti� ��C�e�e s/n� /�X/� ��►e� �`'���� a S�� <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BSDROOMS: G�GE STALLS: ATT. DET. <br /> �� <br /> /�� . <br /> I <br /> ESTIMATED CONSTRUCTION VALIIATION (ezcluding land) : $ S��C ��7�� C-�K��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 wil 1 be in accordance with the approved plan. <br /> APPLICANT"S SIGNATURE:tYi'��_�i��K�!�`P/LG�./2E'� DATE: ����/ �Y <br />