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- CITY OF ORONO - BIIILDI:r',;� PERMIT APPLICATION <br /> Total Fee• $ �� �` �� Date Received: ��ylQ,.j� <br /> Date P.pproved: <br /> Entered By: � ,��;��-` , � <br /> Permit tt: , C>.� <br /> AT•T• INFORMATION MIIST B$ SIIBMIT'�� IN FULL BEFORE PI,AN REVIEW WILI� B$ STAR�ED <br /> tSee Check-off List Enclosed) <br /> --------------------------------------------------------------------------------- <br /> THE APPLICANT ZS: {circle one) OWNER or CONTRACTOR <br /> JOB sz� �nDx.$ss: !3 OS ��d� t9v��1 1�r zzP: S�Sc36 K <br /> (work) <br /> NAME OF OWNER: �Vv� l�e�7"�el� PHONE: (home) Y�Z--7"f��(r <br /> MAILING ADDR.ESS: I�� � �R�'I �►� CITY: ��U ZIP: ��O c.�j <br /> CONTRACTOR: PH��' <br /> MATLING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEII2: S�,I,� PHONE: <br /> MAII,ING ADDRSSS: Cl2R: ZIP: <br /> Z7�: RBGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Struczure Move <br /> Demo Remodel/Alteration Renovate ✓ Land Alteration <br /> PROPoSED WORR (describe in detail) : �i���N Jft�p�S r �cG� - - <br /> STORI$S:�_ SQ. FEET OF EACH FZOOR: <br /> NO. OF B$DROOMS: G�GS STAI.LS: ATT. DET. <br /> ESTIMA3'ED �027STRIICTION VALIIATION (eacluding land) : $ 1�(�� <br /> I hereby apply for a building permit and I acknowl,edge 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 worJc wiI 1 be in accordance with the approved plan. • <br /> APPI,ICANT'S SIGNATDRE: �/ DATE: � � �� <br />