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� � • CITY OF ORONO - BUILDING PER�iIT APPI,ICATION <br /> Total Fee: $ 312 �O� Date Received: <br /> Date Approve�: <br /> � Entered By: �"�`� Permit tt: ���� � <br /> ALI, INFORMATION MUST BB SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL Bg STARTED <br /> tSee Check-off List Enclosed) <br /> -------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> E ��� <br /> JOB SITE ADDR$SS: LZ� ��'�'� ����.� ��jL'� ZIP: ��-_7 // <br /> (work) <br /> NAME OF OWNER: �'l l�U/�L��������f1•�� /���i�� PHONE: (hor[te) <br /> � � ���������_ �z�: �J _ ZZP:��1r <br /> MAII�ING ADDRESS: �� I � , � <br /> CONTRACTOR• f� �/L'� �r ��'_Z�� ' PHONE: �Z/`Z���--- <br /> �' `' `' .�Nz���,lr cz�: a , !s_,. zzP: �s�,�� <br /> MATLING ADDRESS: '�C`��7 � <br /> STATE LICENSE: # IV/� <br /> ARCHITECT/ENGINEER:�� PHONE: — <br /> MAILING ADDRESS: .--- CITY: -- ZIP: ---- <br /> N��: _- REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate� Land Alteration <br /> .� --, <br /> PROPOSED WORR (describe in detail) : � � ��L-%%�' �' — ��� <br /> �%l`1�� 5����% Tfr�' ��, /3C'��� �'� <br /> � STORIES:_____�_� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> s� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ 1 �• � 7 7 <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 will be in accordance w't the app roved plan. <br /> .� <br /> APPLI CANT'S S IGNATURE: r+�.y,�_ DATE: �Z ��7-�l � <br />