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fJ S <br /> CITY OF ORONO - BIIIZDING PF.�2MIT APPLICATION <br /> Total Fee: $ �(,�� l� / Date Received: �/�„�.Z�i'k. <br /> �� <br /> Date Approved: <br /> ��ntered By: � ��' Permit�: �'��5 <br /> r�L INFORI�SATION MIIST B$ SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------- -�=_=�-------------------------- <br /> I'SE APPLICANT IS: (circle one) OWNER or CONTRACTO <br /> JOB SITE ADDRBSS: (��Q �PI-�� L�1`�.Pe ZIP: S�S.'�� <br /> (work) <br /> s� � W���Q ��.t.v 51L I PHONE: (home) ��„/ --� �-!' Z <br /> N�ME OF OWNER: l 1`\ �� <br /> MATLING ADDRESS: �Q�Q Gl.�� ��. CITY: �(�� ZIP: �S�� <br /> C�ONTRAC'I'OR: �J C�C �L'tC�I'� PHO�': � /� V�d `l�� <br /> �SA2I,ING ADDRESS: ��(2f� /v � � f�?��►°�, CITY: �-�"'`�' �G�-C.._ ZIP: ��-��� <br /> STATS LICENSE: � �'�(.G' <br /> �RCHITECT/ENGINEER: PHONE: <br /> MATLING ADDR$SS: CITY: ZIP: <br /> p�A�g,r� RSGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : '��C����r1 ��� ��'�1 • <br /> � 12c�a-� ��_r��,� �—T"" �,.�� �.re <br /> STORIBS: � SQ. FEST OF EACH FZ�OOR: <br /> NO. OF B$DROOMS: � GARAGE STALI.S: ATT. DET. ✓ <br /> �� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ � � �� <br /> T hereby apply for a building permit and I acknowl.edge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> �rdinances 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 /> ��at the work wil 1 be in accordance with the approved plan. <br /> �PLICANT'S SIGNATDRE: DATE:���"- <br />