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�� <br /> � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee� $ <br /> �' Date Received: <br /> � Date Approved: <br /> Entered By: Permit#: !�,�(�.3T <br /> AT•T• INFORMATION� MUST B$ S� Che�ckD-offFListBEnOlosed N �I� �� B$ STARTED <br /> � ------------------ <br /> I <br /> --------------- ------------- <br /> THE APPLICANT I : (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$S : 3�SC� !�/���-h S�n�r � DR ZIP: 5534/ <br /> (work) <br /> NAMF? OF OWNEK: PHONE: (home)�7� ��55g <br /> MAII,ING ADDRESS$ 395d No�k Sha� 1?� CIT�= a'aN� ZIP= 5539! <br /> CONTRACTOR: PHONE: oi' �s-O 5� 7 <br /> MAILING ADDRESS �CZ,��S $hc�i- C3c�h' Rol _ CITY: /�tir�llln+ c ZIP: 55343 <br /> STATE LICENSE: 9�� <br /> ARCHITECT/ENGI ER: PHONE: <br /> MAILING ADDRESS CITY: ZIP: <br /> N�: REGISTRATION � <br /> TYPE OF WORR: ew Addition Accessory Structure Move <br /> Demo emodel/Alteration Renovate Land Alteration _ <br /> Ft20POSED WORR (c�escribe in detail) : �'-eov GF-F � 1�-0 J4Acr-� � <br /> STORTES: SQ. FEET OF EACH FLOOR= <br /> NO. OF BEDROOMS � _ GARAGE STALLS: ATT. DET. <br /> ESTIMAT�D CONS�DCTION VALIIATION (eacluding land) : $ 3 a 7� a � " <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is �omplste 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 thisl is not a permit and work is not to start without a permit; and <br /> that the work w�ll 1 be in accordance with the approved plan. � <br /> APPI,ICANT'S SrGI�ATURE: DATE: �i/� l9y <br /> i <br />