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` � •• CITY OF ORONO - BUILDI�IG PER1tiSIT APPZ,ICATION <br /> Total Fee: $ / C � f ; Date Received: <br /> �� Date Approved: <br /> Entered By: i ,' � �� ��� <br /> Permit tt: <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FULL BEFORE PI,AN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------- <br /> ------------------- --------------------------- <br /> THE APPI,ICANT IS: (circle one) OWNER o ONTRACTO <br /> JOB SITE ADDRSSS:'��d [�/��/_�%�� � ZIP: 5���� <br /> (work) -- � <br /> NAML OF OWNER: /P/% PHONE: (home) ��`����D(D`� <br /> MAILING ADDRESS: � D �/7G �� CITY:�/�j►13 ZIP:�J` � <br /> i.ONTRI�CTOR: �/l�I�S /�/��TS `�lh?D"hi PHONE: �rl��/n?�l) <br /> MAII�ING ADDRESS: ,j�7�a C�i��l�"/� �/� CITY: �/Q-�Q T/� ZIP: ��J�!� <br /> STATE LI CENSE: � �DO �7 6� <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory S ructure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �� / ,� <br /> PROPOSED WORR (describe in detail) : (�J/e �5�1 <br /> STORIES: SQ. FEET OF EACH FI+OOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> G�U <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $�`/ �� ✓ <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 work will be in ac dan wi the approved plan. • <br /> APPLZCANT'S SIGNATDRE: �''- �, , / - DATE:�� 7�Z <br /> . _ ;,r� 9 _ _ . . _ . . . . . . . <br /> . <br /> ,�:� <br />