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•` �� ` CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � ,_, , <br /> / .To+•a1 Fee: $ '�' ;� � i�� Date P.eceived: <br /> Date Approved: <br /> Enter_ed By: �/�: <br /> Permit#: _�"' �,1���i <br /> ALL INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------- =-- ------------------------------------- <br /> THE APPI,ICANT IS: (circle one) OWNER �or CONTRACTOR <br /> JOB SITE AnnxEss: •3��Sg r��k S���R-;V� zzP: 5�3� � <br /> (work)G�N'J'����'/ <br /> f Q I �,2 <br /> NAML OF OWNER: p�}� �C �J�r'� �jG►W�/I�� PHONE: (home) ��/- vg�� <br /> MAILING ADDRESS: ��� ��'i� Tl� S �'1C3`�'`P��� CITY: IfIJ������ ZIP: ��/� <br /> CONTRACTOR: !�U-�- l � 'S � pgpNE; N �� "�(`O S�� <br /> MAILING ADDRESS: � �i..�C���r�{/'i/ �'4'�- CITY: TU��/� �A"�', ZIP: �75�'� l <br /> � <br /> STATS LICENSE: # 1 �C7DOCLl���-- <br /> ARCHI TECT/ENGINEER:_��f I� ��1/1�--t l� PHONE: � 3� ' ��'�'�� <br /> MAILING ADDRESS: �� �i''V. ?a�� JT. CITY: G-t�G�'�A"SStA� ZIP: S�3/ �J <br /> < y � <br /> NAME: �I IN`�� � 011�� �CZ N REGI STRATI ON # "' <br /> TYPE OF WORR: New Addition V ' Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alterat�on <br /> PROPOSED WORR (describe in detail) : ��/��T�l/1/ Q�- �� �Ll7v/Q- �ivF�° ���� <br /> /� ��o �"l}f%l�l O�� �A1r� F7X�1'1'�ci�l�1— vF .5—,�v�C..i r,tlZ�' i/VC-�lbin�Ei �� 5C�E`�Z <br /> �r��r� 2c�`--z <br /> STORIES: � SQ. FEST OF EACH FLOOR�s}� ��� � ` �• �� ��G' �C'f. <br /> Tr-- <br /> NO. OF BEDROOMS: � GARAGE STALI�S: ATT. DET. `� <br /> L��1�+5�"�G1.('�. (�,`�i�'�.SC '�SO;��C�I�. <br /> ESTIMATED CONSTRDCTION VALIIATION (egcluding larid���L`'���� �� � $`������ <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 per:nit; and <br /> that the work will be in accordance with � he approved plan. <br /> ' n n� � <br /> APPI�IGANT'S SZGNATORE: ''l,�'!�'�GU�'''' DATE: ''7' � -� � <br />