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V �` CITY OF ORONO — BIIILDING PERI�LIT APPLICATION <br /> Total Fee: $ �"'`,>.(�y � Date Received: <br /> Date Approved: <br /> Entered By: � ,�li <br /> Permit�: �,�/c� <br /> j.�T.T. INFORMATION MIIST BE SIIBMITT� IN FIILL BEFORE PLAN REVIEW WII.L B$ STARZ'ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> ' X�� L � (�,c:.� zzp: .��� �. �/. <br /> JOB SITE ADDRBSS. '� �� V �"W=� t / <br /> (work) <br /> _ ,, 4 PH�NE: (home) `/ �� �'� :3 `/ <br /> N� OF OWNER: / G i / Lr i L�i<.., <br /> I�AIZING ADDRESS: `Cj��� �� j-��Li J�,�' CITY: �` � L'��� ZIP: SJ��� <br /> r--� <br /> CONTRACTOR: I`�a�-��1 ���-[�i_ ��' PHON$: -t;� ,_ �'�`� �,�� <br /> MATLING ADDRBSS: ZZ��' C.�-��7%��C�� ,�'.�,,''. .-� <br /> � CITY: /`'ZE�cci✓:� ZIP: �r� � <br /> STATS LICENSE: $ `� ����� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRSSS: CITYs ZIP: <br /> NAME: R.SGISTRATION � <br /> �YPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> ; � ..� <br /> PROPOSED WORR (describe in detail) : )�>D �x z� �2,C.� �Li�' r�=�; l���;���-�- <br /> , -�" -� - <br /> %��'���,�T" c_�� 7- r'1�;�ti�L• ..�,r�/ �Ni'��c}P. ����' i J!�-C:�. �-�rJ�Si`f �J��4-�Ls � ,�: <br /> , _ � <br /> � , . �--� L�r��wC�, C',?�;,c . tcn�('` <br /> ,� ir�'t C � ��7",� - �uS��Z,v, � � <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARI�GE STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �� �j��:�f.� <br /> r 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 /> .rdinances and codes of the City and with the State Building Code; that I <br /> �nderstand 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 /> �� '7 ., <br /> .'', r_ '7 _`� <br /> APPLICANT'S SIGNATURE: �C� �'"L - DATE: � / S � <br />