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, < CITY OF ORONO — BUIZDING PERMIT APPLICATION <br /> Total Fee: $ /';�.�-(,- ->' Date Received: � � <br /> Date Approved: <br /> Entered By: � ;� ��,� <br /> " Permit�: _:�� : � ,; <br /> AI�L INFORMATION MIIST BE SIIBMITTED IN FUI�L BEFORE PLAN REVIEW WII�L B$ STARTF,D <br /> (See Check-off List Enclosed) <br /> ------------------------------- =-�----------------------------------------- <br /> THE A.PPLICANT IS: (circle one) �WNER �r CONTRACTOR <br /> JOB SITE ADDRSSS: �']Z�, /��VV`i� i-cw�- � . ZIP: �S'3� (� <br /> (work) 3 3�; -�� �cru <br /> N� OF OWNER: C��"1 C, � , �t A-���c�✓ PH�NE: (home} y"1� -�(3r 1 <br /> MAILING ADDRESS: �'7Z� Ai�N1� ��w•�•.- i�;J � CITY: �,�i 1,:,:1t`-z ZIP: SS '»L: <br /> CONTRACTOR: L�A� C, �, . ��/V��,ti� PHONS: ",7 6 c/�j�I <br /> MAII,ING ADDRESS: i �Z c, /'lj�ti;�•� �-r.,r ,,,,. �,J . CITY: ��-^^� l�..�� ZIP; j�'�.Zj'� <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII,ING ADDRSSS: CITY: ZIP: <br /> N�: RSGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : T��^�5�^ u+ � �J���-�^^��"' `r�-✓ ��J``� �����^-- <br /> �^( `r{�� tl ( Vc...�.. In�—�� Y ,c_ <br /> STORIES: � SQ. FEBT OF EACH FLOOR: � I c-z a __ <br /> NO. OF B�DROOMS: GARAG$ ST1�I.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �U���: ��� <br /> I hereby apply for a building permit and I acknvwledge 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 will be in acc rdance wi,th the approved plan. <br /> � . � <br /> APPLIC.ANT'S SIGNATURE: DATE:� : �/ 3 <br />