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� 1 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �'�. .� � _ Date Received: �� �9 '�3 <br /> --, <br /> Date Approved: <br /> Entered By: �,��/� <br /> Permit v: ; c - <br /> ALI� INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------�y=------------------------------- <br /> THE APPI,ICANT IS: (circle one) OWNER or CONTRACTOR <br /> ' JOB SITE ADDRBSS: J �U ZIP: �_� -�yi � <br /> (work) <br /> NAME OF OWNER-���_j'�f?�"� PHONE: (home) c - � <br /> MATLING ADDRESS: CITY: ZIP: <br /> CONTFiACTOR: � PHON$: r��3 ^� 2f C <br /> MATLING ADDRESS: ��v� �K� �U�• CITY: T U�S /�r� ZIP: SS�/� <br /> STATS LICENSE: � �(`� J /��CJ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N��: R.BGISTRATION A <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodei/Alteration_j�_ Renovate Land Alteration <br /> PROPOSF.D WORK (describe in detail) : , `�-X�S��� �l� C r <br /> STORIES:_�� SQ. FE$T OF EACH FLOOR: <br /> NO. OF B$DROOMS: � GARAGE STAI.I,S: ATT. DE .� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor}c 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 wvrk wiI 1 be in accordance with the approved plan. - � <br /> AL'PLICANT'S SIGNATDRE: DATE: 1l�-� <br />