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~ CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> ,� 7, �J �' � Date Received: �'a�a- q� <br /> lotal Fee: $ �� <br /> Date Approved: <br /> yntered By: � ��� �,y,�-y <br /> Permit�: <br /> ALI, INFORMATION MIIST BE SIIBMITTSD IN FIILI. BEFORE PLAN REVIEF7 WII,L BB STAR�.ED <br /> (See Check-off List Enclosed) <br /> ---------------------------------�--------------- <br /> � APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: �v� /V� J�lor� Uh (�{'Q Rv . /�'�/V� ZIP: ,5�� -1 � <br /> (work) <br /> NAML OF OWNER• �Qv� C. . lJ �� N PHONE: (home) �/�/ I�'' <br /> �zzxc �DxEss: „36 b.i AJd �S�r�r..e or cz�: � /�o�l� /Z'IitJ zzp: s.�.�y/ <br /> CONTRACTOR: ,�� �a✓I `tJ ri<�e� (,t)it'`i �S�L�istR.r�� n241 t�0�i fiv.+ PHONE: <br /> N�ILING ADDRBSS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> ZJ�: R$GISTRATION A <br /> mYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> pZOPJSED WORR (describe i.n detail) : .TnS�a�j"�QQ�e.�S ,C3�v�u�.S' t,cJdi..��S w�nOa�,f tAr�c� <br /> / /n j7 ��� pl� S�j't/i�LJ�^�2 . ,,[H57at,�� �/I•/n S�l1C�fhOC� GtNG► /�n.r��T���7�7 I.� /'�YtJ G�fX�. <br /> STORSSS: I a SQ. FEST OF EACH FLOOR: qb a �!3��I <br /> NO. OF B$DROOMS:�_ GARAGE STAI.LS: � ATT.�_ DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �(>d�3. d � <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 /> tnat the work wiI 1 be in accordance with the approved plan. • <br /> APPLICANT'S SIGNATIIRE: i����"''�'i'L �• � DATE: h, � ,o�� ���� <br />