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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �otal Fee: $ �, ��5• 93 Date Received: <br /> - �3 - 9Z <br /> Date Approved: <br /> Entered By:�/ <br /> Permit�: �L�9(� <br /> AT•T. INFORMATION MIIST BE SIIBMITTSD IN FULL BEFORE PI.AN REVIEW WILL B$ STARTED <br /> _______(See_Check-off List Enclosed) <br /> ---------------- ------------- -- -—�------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDRRSS: �Q 1u ZIP: �5� 91 <br /> (work) <br /> NAML OF OWNER: � PHONE: (home) r�7/ �-�3� <br /> MAII,ING ADDRESS: ,�, �� CITY: ��J() ZIP: �iS3 <br /> CONTR�CTOR: f�0 � 1 � .L PHO /� r�� <br /> I�iAILING ADDRBSS: (} CITY: /r - ZIP: � S yZ� <br /> STAZ'S LICENSE: � a 8 � � <br /> ARCHITECT/ENGINEER: . � PHONE: 9�S -���7 <br /> /� ) ��// <br /> MAILING ADDRBSS: lf�� � . UL'�S �j�c�n� CITY: • ZIP: -S .�7 1� <br /> N�ME: ���� RBGISTRATION � <br /> —� <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : �l�t �� <br /> —T <br /> STORIES: SQ. FEBT OF EACH FI,OOR: ' <br /> NO. OF BBDROOMS: GARAGS STAI�S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ ���'7/7J • � � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor3c 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 /> i <br /> APPLICANT'S SIGNATIIRE: DATE: �� 2-- <br /> P <br /> � ] <br /> I <br />