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� " ~ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ � �/�� 7� Date Received: ���=��� <br /> , Date Approved: <br /> Entered By: � �'��� ,_ <br /> � Permit�: . �.,� / <br /> AT.T• INFORMATION MDST BS SDBMITT� IN FDLL BEFORE PI,AN REVIEW WII.L BB STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE A.PPLICANT ZS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: --� � S Y �o R cl _� ry" ZIP: � 5" 3 S' (� <br /> (work) <br /> NAML OF OWNER:�� '� � l�l-�CV � �1 S �� �' 2 PHONE: (home) �/ 7 3 �7�7'� <br /> MA2I�ING ADDR.ESS: L/7 S- O x �o �e� I��G' cz�: G� 2 v � v Z1P: S 5 3 S (� <br /> ��_ 6�i� - 35�5� <br /> CONTRACTOR:�P�, � - :> .,'�-� � w� � � ,-� � � f �h�. PHON$: l �`�C� `I 5 7 �}- <br /> MATI�ING ADDRESS: j �l S S d�n � i'2 i nt� � v�'. CITY: l�//�- 1 f/� �wr,�/jh:-._ZIP: S j 3 S5'S <br /> :�G' <br /> STATS LICENSE: � -'� %S /_�� <br /> ARCHITECT/ENGINEER:� � w _ ) I J� 5 � r> c � A l� ��, Paorrs: �I�5S _ � � S"U <br /> MAIT,ING ADDRBSS: J('J �� �%� Q5_c� Ci n c �� _,� 2'.: CITY: �`)� � n �1 r T c.� !i r� ZIP:S S 3 `]� 3 <br /> L.q/1 �ar1. � �„�i,c� ni ��- �� . <br /> N�: �� � � I�!i t�-� r� ti �/; �-� �'°��J RBGISTRATION tt <br /> � ho� 4 B'i- cr� a <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : � � �t �� (X-c�� � !� u,r�� <br /> " , <br /> �Vl,�l . `�� ca2 i2¢� t�2,c_c.,,.iG � � �� 'Gv i:..C��c,�� ��� ��.�. � ' �-<.c�� <br /> ����'� (� � ��(,��,.fi <br /> J u-c�,z,Z.�`.-._. <br /> ^aTORSES: SQ. FEBT OF EACH FLOOR:_q�� �1�G K� .�d pG' ' � <br /> NO. OF B$DROOMS: �7 GARAGB STAI.LS: ATT.� DET. <br /> ' I SU�C�O G<��; � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : -��-�=-.—����-�''�� <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 wvrk will be in accordance with the approved plan. . <br /> ;� A <br /> ��� � '1 /�� <br /> APPLICANT'S SIGNATQRE: �y�l;�-✓Q � L� �-- DATE: Y ' � > � y � <br /> v <br />