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. � � <br /> CITY OF ORONO - BUILDING PERMST APPLICATION <br /> � '/� C'�� Date Received: <br /> Total Fee: $ / �r � <br /> Date Approved: <br /> ; <br /> � Entered By: �c�1i�' �� �")�j <br /> Permit tt: �' - <br /> AT•T• INFORMATION MDST B$ SIIBMITTED IN FIILL BEFORE PLAN RE�71EW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------- <br /> THE APPLICANT IS: (circle one) ���NER�r CONTRACTOR <br /> . ,- <br /> � JOB SITE ADDRBSS: �� ���2��� ��� ' ,:� � � ��� � � ����� ZIP: <br /> (work) <br /> ,, , <br /> ���- �� � c,c (� G ' PHONE: (home) <br /> NAML OF OWNER: � <br /> � � C� CITY: ./�f' �c i�7��,-' �;" � ZIP: �'��� ( <br /> MATI�ING ADDRESS: �`� - C�' '� = � I <br /> CONTRACTOR: �� � •� •��'� �� C� l� G( �C-� ti � PHONE: <br /> MATLING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /�'�-�� '�`�' PHONE: � <br /> MAIZING ADDRESS: CITY: ZIP: <br /> N�: REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> Demo Remodel/Alteration Renovate /\_ Land Alteration <br /> T <br /> PROPOSED WORR (describe in detail) : f�( < �� � r� <br /> STORIES:�_ SQ• �T OF EACH FLOOR z ��� ��°/' /r G �'-'�: <br /> NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET. <br /> � . c c <br /> ESTIMATED CONSTRUCTION VALIIATION (ezcluding Iand1 : $ ���(' f" <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is compl.ete 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 wil 1 be in accordance with the app roved plan. � <br /> � r-� . � <br /> / -� <br /> APPI�ICANT'S SIGNATIIRE- �_/" �'� ,`'` i`.�C � DATE: ��" � � <br />