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. CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> , � <br /> Tota� Fee: $ Date Received: <br /> Date Approved: <br /> Entered By:�,� Permit�: ,�;��', <br /> ALL INFORMATION MIIST BE SIIBMITTSD IN FiTLL BEFORE PLAN REVIEW WII�L B$ STAR�ED <br /> � (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------- <br /> T� APPZICANT IS: (circle one) OWNER or CONTRACTOR <br /> , � >� /' /� <br /> JOB SITE ADDR$SS: O /�%� / � ZIP: ��� �/ <br /> (work) <br /> i <br /> N�ME OF OWNER: � ' , � ' �{��'� T � �r PHONE: (home) <br /> MAILING ADDR.ESS: ,✓�� 7 /`0)"'.�'r� CITY: �� �GG/ ZIP: .��L,� <br /> CONTRACTOR: s�7 ��(�%7 � �d/✓-S /� �/r/� PHONE: .���"d��� <br /> i+tAII,ING ADDRESS:�.� 'c� /[,'O U' C�L CITY:�"� '`" 7 _ ZIP: ��� <br /> STATS Z.ICENSE: � /(J��� <br /> ARCHITECT/ENGINEER: G�,�,/Jif'/�� PHONE: <br /> MATI,ING ADDRSSS: CITY: ZIP: <br /> g�: RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> � : � <br /> PROPOSED WORR (describe in detail) : ��`"'d0 � ���fCz E �� ������//.//%,.��-� <br /> / <br /> �,/�,�����t�� ; �� <�',;��Ct-1 c�1`. �l/o c�>—' <br /> STORIBS: o� SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS:� GARAGE STAI.LS: ATT. DET.�� <br /> �.� ' , <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �-�c')(�%� ` <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 wil 1 be in accordance with the approved plan. � <br /> APPLICANT'S SIGNATURE: � ' �/� _ DA�: � - ✓ ! <br /> � <br />