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� ' � + CITY OF ORONO - BUILDING PF�Z�LZT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date P.pproved: <br /> Entered By: ' � <br /> Permit�:�� <br /> ALL INFORMATION MDST B$ SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WILL BB ST�IRTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------------------------ <br /> TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRRSS: aI �'� ��J��G. fi�/��'iC�'� /��l' ZIP: <br /> (work) <br /> NAI�II: OF OWNER: L PHONE: (home) y�/-�'1y�.5� <br /> HAILING ADDRESS: S�J ' CIT�= O�fY'�L��3 ZI�'= <br /> CONTRACTOR: PHOIJS: �6�o ��'i <br /> , <br /> �IAIZING ADDRESS: ��",'�� /"e�l y1 7T�/lo �- CITY: � � ZIP: <br /> STATS LICENSE: �T,� #(�('"� �„2�l l� <br /> ARCHITECT/ENGINEEFt: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> Np��g: R$GISTRATIOF � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> . Demo Remodel/Alteration Renovate�_ Land Alteration <br /> PROPOSF.D ORR (describe in detail) : <br /> , f � <br /> � r` S �1/� �vlf Ol.l <br /> STORI$S: �� fz SQ. FE$T OF EACB FLOOR: <br /> NO. OF B�ROOMS: GARAGB STALLS: ATT. DET. <br /> ESTIIKATED CONSTRIICTION VALIIATION (ezclnding land) : $ �,.��4�� <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 /> �hat the work will be in accordance with the approved plan. , <br /> � <br /> APPI.ICANT'S SIGNATORE: , DATE: g O�S�Z- <br /> � <br />