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� � <br /> ~ CITY OF ORONO - BUILDING PERMIT APPZICATION <br /> Tota1 Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: � Permit�: <br /> AI�L INFORMATION MIIST BE SIIBMITTSD IN FULL BEFORE PI,AN REVIEW WILL B$ START�D <br /> (See Check-off List Enclosed) <br /> -------------------------------------------- �.�,.--------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o�C�NTRAC� <br /> JOB SITE ADDR$SS: �.20`�� �ii/+������.�� 1NDf�"� � �r'�i�:���ZIP: .��-rj��j� <br /> F (work) <br /> N�ME OF OWNER: <br /> !��(�j�Y�P►��,�. PHONE: (home} <br /> T , <br /> r <br /> MAILING ADDR.ESS: �t�`�. � �- �� ;� � �..:'a�'"'. �;s>� CITY: tr'i �._#��� � ZIP: <br /> CONTRACTOR: ��a i Y^� P.����r �, t � . , �'�;�.,.. PHONS: �a-� (_i ��� � <br /> MATLING ADDRSSS: �/I DO �XCI , r'. ..�vc� ✓ cz�: .S�-�-� zzP: � . -. � ;�, <br /> STATS LICEIJSE: � 1 D�J <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> NAME: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> n w t� S ��r d� �I.�i I�" i� vu� ''� 'v� <br /> STORIES: SQ. FEST OF EACH FLOOR: <br /> NO. OF BSDROOMS: G�GE STAI.LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding la.nd) : $ ' l�� �� `�`"' <br /> I hereby appSy for a building permit and I acknowledge that the information <br /> :bove is complete and accurate; that the work will be in conformance with the <br /> �rdinances and codes of the City and with the State Building Code; that I <br /> snderstand this is not a permit and work is not to start without a permit; and <br /> �hat the work wil 1 be in accordance with the approned p lan. � <br /> APPLICANT'S SIGNATDRE: r�! ' r/� DATE: L/ ��oL� <br />