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CITY OF ORONO = BOI�DING PERMIT APPLICATION <br /> Total Fee: $ /, ��9. �S Date Received: 7 - `�'"-�� <br /> Date Approved: <br /> Entered By: l'� <br /> Permit#:�n�(� � <br /> ALL INFORMATION MIIST BB SIIBIKITTED IN FiTLL BBFORE PLAN RSVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: IZ DO �/l/�II�joS �j'/'�'� ZIP: <br /> (work) SY41- 9/B8 <br /> NAi� OF OWNER: Gie �i�y A'''� v��� /�i4 M S PHONE: (home) `>�7 Oo Z$ <br /> MAII�ING ADDRESS: 6 z 6'Z �'J/!�cjfr ,�ii'vG. CITY: Fole�► /�/�i'r.'! ZIP: ss3 Y6 <br /> CONTRACTOR: �e�� �v'�d PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATS I.ICENSE: � <br /> ARCHZTECT/ENGINEER: �cj E'� ��� � �S1g h PHONE: S ys" r�L,�`4 <br /> �- <br /> MAILING ADDRSSS: �'� ��f�-'r� �i°'�- CITY: ��'i¢''h.�' ZIP: SS 3 N 3 <br /> NAME: /�ra►� /��f g�•.' ,�.a,�� REGISTRATION # <br /> �- <br /> TYPE OF WORR: New � Addition Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (des+cribe in detail) : <br /> STORIES: � SQ. FEBT OF EACH FLOOR: � $�� >Oe•- ��oer,- <br /> NO. OF BBDROOMS: .� GARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ Z Z� Bo0 <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete �nd accurate; that the work will be in conformance with the <br /> ordinances and corles of the Cit and with the State Building Code; that I <br /> understand this is not a perm ' t d work is t to start without a permit; and <br /> that the work wil 1 be in acco e with the proved plan. • <br /> APPLICANT'S SIGNATORR: DATE: <br /> 3_ 3 �- ty <br />