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. _ . CITY OF ORONO - BIIILDING PERMIT APPI,ICATION <br /> ��, � �% Date Received: <br /> Totai Fee: $ <br /> Date Approved : <br /> Entered By: �� �=%� � permittt:�' � �� �-- <br /> AT.T• INFORMATION MIIST BS SIIBMITTED IN FffLL BEFORE PLAN REVIEW WILI' BE STARTED <br /> (See Check-off List Enclosed) <br /> ----�---<--- <br /> ----------------------------------- <br /> -------------------------------- ,_- <br /> THE APpLICANT IS: ( circie one) �OPTNER or CONTR.ACTOR <br /> � , � <br /> ADDRSSS: .��� f � `'_�F�.,- � � � ���� c� I'� ����� ��� ZIP: '_,'> J �1 � <br /> JOB SITE � <br /> (work) <br /> � � PHONE: (h ome) `/ t/ J �� <br /> NAME O F O.WNER: i �_ t � � , v�' �� � �l <br /> j '1 �� CITY: \�� �_��, :_��, t�t f� ZIP: °>`��_�ct / <br /> MAILING ADDRESS: r �`-{ l ��b�,A l�� i.• : t'L ��.� � � <br /> , ;� PHONEs <br /> CONTRACTOR: � " <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> STATE LICENSE: � <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> N�_ REGISTRATION R <br /> TYPE OF WORR: New Addition Accessory Structure <br /> rlove <br /> Demo Remodel/Alteration Renovate .,_, Land Alteration <br /> `�, <br /> PROPOSED WORR (describe in detail) : '" � r � "� <br /> STORIES:�,_ S4. F�T OF EACH FLOOR: ; r;.r ' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. , �- r �:_ <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ � :;: < <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 `^'1thathI <br /> ordi.nances and codes of the City and with the State Building Coe��it; and <br /> understand this is not a permit and work is not to start without a p <br /> that the work wil 1 be in accordance with the approved plan. <br /> �� DATE: / . ._ � .z �r � ��,,�, <br /> APPLICANT'S SIGNATURE: - ,� .;_ . ' % , � < �. _;_ , ' <br />