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CITY OF ORONO - BIIII.DING PERMIT APPLICATION <br /> 1 � , Date Received: <br /> Tota1. Fee: $ <br /> Date Approved: <br /> Entered By: permit�: <br /> ALL INFORMATION MIIST BS SiTBMITTED IN FIILL BEFORE PLAN REVIEW WII'I' B$ STAR�D <br /> (See Check-off List Enclosed) <br /> ------------------- <br /> THE APPLICANT IS: (circle one) 0��7NER or CONTRACTOR � <br /> JOB SITE ADDR$SS: S �5 S S Q roc..�r� ��. zzp: SS3�� <br /> (work) ga� -�� <br /> N� oF owxEx: P 2.�e C' J �� l� PaorrE: (home) `-�1S-�13y � <br /> MAILING �n�ss: S �S � S , (3�o,.�n � cz�:�a��za'�-� G�p: SS3 S� <br /> PHONE: <br /> C�NTRACTORt <br /> IKAI G ADDRESS: CITY: ZIP: - <br /> � <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINE pH��� <br /> MAILZN DRESS: CITY: _ ZI�: <br /> R.EGISTRATION � <br /> TYPE OF WORR: NeW�i Alterationn Renovatery StruLandeAlteratione <br /> Demo Remod / <br /> PROPOSED WORR (describe in detail) : '(�e� ���� �� <br /> �o� S� <br /> STORIES: SQ. FEET OF EACH FI�ODR= <br /> NO. OF BEDROOMS: GA.RAGE STALLS: ATT. DET. <br /> _ —��- 3 �ao <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding Iand) . $�g' <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 perm ' and work is not to start without a permit; and <br /> that the work wil 1 be in acco anc w' the approved plan. � <br /> APPL <br /> ICANT'S SIGNATURE: � DATEs ���� / � <br />