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�� CITY OF ORONO - BUILDING PER�IIT APPLICATION <br /> � <br /> Total Fee: $ _�, ���.�S Date Received: � �/�,3 <br /> Date Approved: <br /> Entered By: ,�'/V <br /> Permit�: s'� � � <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI, Bg STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLIGANT IS: (circle one) OLVNER or CONTRACTOR <br /> Jos SITE AnDx$ss: 307 �� /{��9G!'�i22� 1,h�nlF zzP: ��� 3 f / <br /> (work) <br /> NAME: OF OWNER: ���j ►'2 '( . 1��%,:� C'/ PHONE: (home) %7/' ��9� <br /> MAILING ADDRESS: �11 S �r'.v�..��c�� !✓4,.> CITY: �✓�1q2,y�,� �`'l�> ZIP: S S 3 i/ <br /> � <br /> � � PHONE: �/� / -�S�/� <br /> CONTRI�CTOR: C/-f � t� l� Oca c� <br /> MAILING ADDRESS: SA�r � CITY: ZIP: <br /> STATE LICENSE: # /�� �4� <br /> ARCHITECT/ENGINEER: 1#r2�, �O L� �7oy �/,� PHONE: %� S- %��`� <br /> MAILING ADDRESS: `�/p� <�/���vh.,�-y A�� S; cz�: 1�'I/'��� �� Z1P- 5's y�v <br /> NAMEs ''9'"�f' REGISTRATION # <br /> TYPE OF WORR: New �C Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : H�'�� N���d � e�ti-��: <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: I`��3/ti/ L��'t'� •�7 �� �34rr�t.�,�f 13�-4'r <br /> NO. OF B$DROOMS: -a�' GARAGE ST�I�S: ATT. 3 DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � ��,��'�' <br /> I hereby apply for a building perm;t 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 /> C�.�a.� � z r ' °5 3� � � <br /> APPLICANT'S SIGNATORE: f� � �� DATE. /� <br />