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' ` CITY OF ORONO - BOIZDING PERI�LZT APPLICATION <br /> • ' � t <br /> To�al Fee: $,�`i„2� .�.� _ Date Received: <br /> Date Approved: <br /> Entered By: '�� - � <br /> Permit�:y�,�7 <br /> ALZ INFORMATION MIIST BS SUBMITTBD IN FDLL BEFORE PI,AN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> TE� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: ��QO 1�► � i l�o'^, �� , , C�Y'c�ve,a , m� ZIP: <br /> (work) 8"t�7- f�12 <br /> NAI�: OF OWNER: i�o��ne.� 'Dv.�('W e\� PHONE: (home) '�}'��n - 1�47 <br /> MAILING ADDRESS: I I O C� M � I t-Sl d r� T'�d- CITY: O�e�,cs , �� ZIP: <br /> CONT�CTOR: ��e� ��r.s�"ru c4'�'',��.. paox$: -49�--`7�'� <br /> MATI.ING ADDRL�'SS: q3So �� 19 cl�: Car car�.�,,, r1N zzP: ,S'S"r3�7' <br /> STATS LICENSE: � �L� �1 �-� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MA.ILING ADDRSSS: CITY: ZIP: <br /> Ng�: RBGISTRATIOA � <br /> TYPE OF WORR: New�_ Addition Accessory Structure� Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : �d X (�� IQ i"'�"nra� bu-'� (���� <br /> -For ��,,�� ��,,,.'�.�,�'° C b���1� �d�►sT� <br /> S TORIES:___J___ SQ. FEBT OF EACH FLOOR: I��� ��lt ��• -- <br /> NO. OF BEDROOMS: G�IRAGE STALLS: ATT. DET. <br /> �STIMATED CONSTRIICTION VALIIATION (eaclnding land) : $��..� � '7 �n <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 tlie 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 SIGNATDRE: DATE: I I " �" �'1� <br /> � <br />