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' ' ' CITY OF ORONO - BIIIZDING PERMIT APPZ�ICATION <br /> Total Fee: $�/�.�. 7C� Date Received:� " /J - cj � <br /> Date Approved: <br /> Entered By: /°� <br /> Permit�: '�>� <br /> A�L INFORMATION MIIST BS SIIBLKITTSD IN FDLL BEFORE PI,AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclased) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> J�B SITE ADDRSSS: � II � � � � ��` � �'1-O�'�- ��'� ZIP: <br /> (work) <br /> NAI� OF OWNER: �/4/�'��� �e, `�,� �. / /'0 PHONE: t home) y7'I'-/ 0 ? 0 <br /> 1�SAILING ADDRESS: _�o�X {�J� rT� sI, a r c � CITY: b r a n o ZIP: <br /> CONTRACTOR: �u.g� r� t, �. �Y f�b 2 IC. /1 G h2 6 C�e�L i n y PHONE: a �� " �F� 9�S <br /> I�SAII.ING ADDRSSS: �� �� ��e-��nS ��L�� CITY: �� ��'1����"�s, ZIP: �v��-S C) <br /> STATS I.ICENSE: $ �� �� <br /> ARCHITECT/SNGINEER: PHONE: <br /> MATyING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION $ <br /> TYPE OF WORR: New Addition Accessory Strncture Move <br /> Demo Re�nodel/Alteration_�_ Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : ��n� o d�L�� � Ay� �. � ���� <br /> STORI$S: SQ. FEBT OF EACH FZOOR: <br /> NO. OF B$DROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIIrSATED CONSTRIICTION VALIIATION (eacluding land) : $ ��.��� �— <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 wil 1 be in acc ance with the approved plan. • <br /> APPLICANT'S SIGNATORE� �i DATE: �� `� �y�y <br />