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� CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ ��j j� �7 Date Received: �' �,Z ./i - 4;�,� <br /> Date Approved: <br /> Entered By: � . "-;�� permit�: ���/ <br /> AT.T• INFORMATION MIIST BE SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------- -z�---�------------------------ <br /> TSE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> —� <br /> JOB SITE ADDRBSS: 3���-J /�Q S!« �'.J�� �;/ Y ZIP: <br /> (work) <br /> N�ME OF OWNER: �f 2'-� ( �i�%6`��t PHONE: (home) <br /> MAII,ING ADDR.ESS' �`���%'' ���'� ',�,�r' CITY: (�,��i���' ZIP: <br /> C'� ��/_ ' �� <br /> CONTRACTOR:1 S j���'�J�����Z�'��i� PHONS:�?�, <br /> � <br /> I�..AILING ADDRESS: ' �� ��> i��t'd��/�c..�� CITY: �j���j�� ZIP: �-�'S�[CY'Js- <br /> ,.-� <br /> STATS LICENSE: � � �:' ��� �� <br /> ARCHITECT/ENGINEER: PH�NE: <br /> MATLING ADDR.$SS: CITY: ZIP: <br /> N��g: RBGISZBATION � <br /> TYPE OF WORR: New_� Addition Accessory Structure Move <br /> Demo�_ Remodel/Alteration Renovate Land Al�eration <br /> PROPOSED WORR (describe in detail) : � 1.7�, r ' � <br /> ~� L � <br /> .�'(,� X l � � ri� �l�l �"�a/t ,�i .�`l <br /> STORIES:�_ SQ. FEBT OF EACH FI�OOR: � "C-� - <br /> /� <br /> NO. OF BEDROOMS:� G�GE ST�LLS: ATT. �X DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ /j����% <br /> 2 hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor}c will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that 2 <br /> understand this is not a permit and work is not to start without a permit; and <br /> t�at the work wil.l be in accordance with the approved plan. • <br /> ,1 4,-�� / <br /> I T'S SIGNATDRE: � DATE: ������6 �� <br /> APPL CAN <br />