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�� <br /> CITY OF ORONO - BIIILDING PER�LIT APPLICATION <br /> ' S s Date Received: <br /> Total Fee: $ �5�� � <br /> � <br /> Date Approved: <br /> Entered By: � � '' Permit�: �� ,� / ��J <br /> to <br /> ALL INFORMATION MIIST BB SIIBMITTSD IN FDLL BEFORE P7�AN REVIEW WILL B$ STARTED <br /> (See Ch�ck-off List Eaclosed) <br /> ------------------------------------------------------�_------=-�-------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR ��G� <br /> J�B SITE ADDRSSS: 245� S�'"�+f ��v�: �� ZIP: �5�✓"�� <br /> (work) <br /> x� oF owr�8z: ��IV l l(l�-�I��l�L_t j PaorrE: c n o�e)�73-3�� <br /> MATLING ADDRESS: 24"SS ��CdTG� �N� �.� CITY: ���� ZIP: �j�� <br /> CONTRACTOR: PH��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> )� �� � <br /> A.xcHz�c�/ExczN�:�-�1�'�1��' ��l�l'U � pHorrE: C�S-C�.�tU`l <br /> R3AILING ADDR$SS: 13�3/ �f lL���.�- �%� CI�: �Vl !1`--`�' ZIP: ��S <br /> N�: �'I�l�j /vl � l�Jf� ��/j'I�'� R.BGISTRATION � �� / <br /> I'YPE OF WORR: New Addition/ Accessory Structure Move <br /> Demo Remodel/Alteration�/ Renovate Land Alteration <br /> 7T <br /> ?ROPOSED WORK (describe in detail) : �V� C�t-���0�-��l-►'� /�/ � /l��" <br /> � ��'��/C� � G�li1� �nJ E=7�l�2 �'�O�(,�7Z`dl�! <br /> STORIES: SQ. FEBT OF EACH FI,OOR: <br /> k70. OF B$DROOMS: GAR1�G$ STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $ i �� � � � � <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 with the approved plan. <br /> APPLICANT'S SIGNATIIRE: ✓�� �V�7�' G'CL-� DATE: ���` J / / - <br /> �� /i � __. <br />