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CITY OF ORONO = BIII7�ING PERMIT APPZICATION <br /> Total Fee: $ �r1d, 3 � Date Received: <br /> Date Approved: <br /> Entered By: ' - Permit�: Sy�O <br /> AI�L INFORMATION MIIST B$ SDBMITTED IN FQL.L BEFORE PI,AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: -5�G 1�� OC�''� ZIP: <br /> (work) <br /> NAI�: OF OWPTER: r� e� V b�/sz os-. PHONE: (home) <br /> 1KAII.ING ADDR.ESS: �D /!��-�� �r.n CIZ'Y: d�oh0 ZIP: <br /> CONTRACTOR: � �P PHONE: 02� � 9� � O <br /> r�zixc Annx$ss:�i'/�l �� �s'7—�� ci�r: �l�-s��. ziP:S/6y5� <br /> STATS LICENSE: � 5�a y�3 <br /> ARCHITECT/EDTGINEER: PHONE: <br /> MAIZING ADDRSSS: CITY: ZIP: <br /> N�: RSGISTRATIOH � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : l'w , /'� � ����4` �-o �� �x�s'��' <br /> LYo�t— �� S�O`✓c°Y �-f+ /� hJ/r COcJ �C Pw C�rA�s-j�c_ /�-FGIa�— <br /> r <br /> STORI$S: SQ. FE$T OF EACB FI�OOR: <br /> NO. OF B$DROOMS: GARAGE STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezclndi.ng land) : $ � s �� <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 wiI 1 be in acc dance w' h the approved p lan. <br /> APPLIC�iNT'S SIGNATOI2E: . DATE: L- / �/ � <br />