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' � CITY OF ORONO - �3UILDTNG PERMIT APPI,ICATION <br /> Total Fee: $ :�,7,�. ��5 Date Received: S � " � � <br /> Date Approved: <br /> Entered By: �,/✓ <br /> Permit#: ��3�� <br /> AT,T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER �NTR`ACTO <br /> JOB SITE ADDRSSS: �� ����� ���'' ZIP: SS-3�T <br /> (work) 333- `�J'' . <br /> N� oF owr�Ex: �4�"` + S�/E I.✓ANN�/� PHorr�: (home) `�7�-ogl� <br /> MAILING ADDRESS: Tz� ���� �Yt1v� /J/levl� CITY: Q/�NA ZIP: ,55•3�i� <br /> CONTRACTOR: Q4�nN�n/ l�oo C, PHONE: � QO� (�o�v) <br /> MAILING ADDRESS: .��95 Nwy /69 NO CITY: p�°`��� ZIP: ss��' � <br /> STATE LICENSE: # OOD S3I0 <br /> ARCHI TECT/ENGINEER: I'H��= <br /> MAILING ADDRESS: CITY: ZIP: <br /> p�g: REGISTRATION # <br /> TYPE OF WORR� New X Addition Accessory Structure Move <br /> Demo • Remodel/Alteration Renovate Land Alteration <br /> PROPOSED Wf?RR (describe in detail) : /8 k 3� � ��"�J'� ��^'r� �'"���N''J �?O� <br /> STORIES: ��� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET. <br /> VAL ATION egcludin Iand) : $���� Q�' � <br /> ESTIMATED CONSTRQCTION II � 9 <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 accor nce with the approved plan. � <br /> APPLICANT'S SI6NATORE• DATEt � �y/� °3 <br /> '� <br /> 4' <br /> . .. ..... __.. ... . .._... . . ... .. . . ... <br /> . .. . . _. . _. .. _ . .. <br /> - —i�.-�y�,`�. <br /> �a�.�q''"i <br /> a <br />