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` ` ' CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ - �i;% �/ � p Date Received: <br /> Date Approved: <br /> Entered By: '�.�'� a, r,;- <br /> Permit v. r; : _ �, <br /> ar•T• INFORMATION MIIST BS SUBMITTSD IN FII�L BEFORE PI,AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------- <br /> ------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER o pNTRACTOR <br /> �[ � zzP: SS�G�' <br /> JOB SSTE ADDRSSS: / � N`��(� ��� ��l�� <br /> (work) <br /> x� oF owxsx: ����� �����/A� Paorrs: (home) ���- ��l� <br /> IKA.IZ,ING ADDR.ESS: 5���' CITY: ZIP: <br /> CONTRI�CTOR: �O�pN�n/ 1�D.OL 4 SI�A PHONS: SS��Z'40.O1> <br /> MATr.�� xnDx�ss: 3�oS �l�f' /G9 /�/o cz�: �°�^^�r� zzP: sSS�S�� <br /> STATE LICENSE: � �3�� <br /> ARCHI2*ECT/ENGINEEFtt: PHONE: <br /> -SAILING ADDRSSS: CITY: ZIP: <br /> �A�: RSGISTRATION u <br /> TYPE OF WORR: New x Addition Accessory Structure Move <br /> Demo Resnodel/Alteration Renovate Land Alteration <br /> 'n � ,�,,,�n��H� �J,,�yC U.�/J .5,�,-,.��•� <br /> PROPOSF.D WORR (describe 3.n detail) : �0 �.3 <br /> �Oo� <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BHDROOMS: GARAGS STAI.LS: ATT. DET. <br /> � ' <br /> g,STTNATED CONSTRIICTION VALUATION (eaclnding land) : $ � '� ��• � <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 wi11 be in accor ce with the approved plan. • <br /> APPLICI�NT'S SIGNA � DATEs � -�G � <br />