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CITY OF ORONO - BUIZDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: ;r'�. Permit�: _U/d� <br /> ALI� INFORMATION MDST B$ SDBMITTSD IN FiJLL BEFORE PI,AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or C NTRACTOR <br /> JOB SITE ADDRSSS: �`� � ZIP: ,�S ��j� <br /> (work) <br /> NAI�: OF OWNER: PHONE: (home) <br /> MATLING ADDRESS: �=� Zlp=�ss3�y <br /> CONTRACTOR:��r?►���SC�l� V1 PHONB:�� ?���3Ys� <br /> NiAII.ING ADDR$SS:����jT �— `r" - CITY: ZIP� �.5 <br /> STATS LICENSE: $ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�: RSGISTR.ATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : _ <br /> STORISS: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B�ROOMS: GARAGS STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding landj : <br /> � � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accura ; that the work will be in conformance with the <br /> ordinances and codes of th ity n wit the State Building Code; that I <br /> understand this is not a pe i an wo k i n t to start without a permit; and <br /> that the work will be in ac rd nc wi h t e proved plan. • <br /> APPLICANT'S SIGNATURE: DATE: v J <br />