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CITY OF ORONO - �BUII�IfING PERA+IIT APPLICATION <br /> Total Fee: $ a ��- � / Date Received: <br /> � Date Approved: <br /> Entered By: � <br /> Permit#: . � �� 7 <br /> ALI� INFORMATION MDST BS SIIBMITTED IN FIILL BEFORE PI,AN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> ------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB si� Annx$ss: 3 L�y /(� S�tarz 1�r zzp: .�"�''3�/ <br /> (work)�f�/-O,�L�' <br /> NA1�II: OF OWNER: �v S S t �� n. /wrk w� PHONE: (home)Y�l"'�.r(.� <br /> MAILING ADDRESS: 3 2{P4 � SK�►�'� �r CITY: (,(��'Lp-� ZIP: ,�5��� <br /> CONTRACTOR: S L� PHONE: <br /> MAILING ADDRESS: �o�,�wC- CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/$NGINEER: N1�' PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> p�g: REGISZR�TION # <br /> TYPE OF WORR: New Addition Accessory Structure � Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : O�.V'�-� G <br /> STORIES: � SQ. FE73T OF EACH FLOOR: <br /> NO. OF BBDROOMS: GARAGE ST�iI.I.S: ATT. DET. '� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ � Uw � <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 SIGNATORE: DATE: lU --1 y^ '�1�3 <br />