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� r� <br /> CITY OF ORONO - BUILDING PER�iIT APPLICATION <br /> Total Fee• $ � 5 `�� Date Received: <br /> Date Approved: <br /> Entered By: �'/ pe�nit tt: i ((�'1 � <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN RE�7IEF1 WILZ BB STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------ <br /> ----------�---------------------- <br /> TgE APPLICANT IS: ( circl.e ane) ��INE� or CONTRACTOR <br /> JOB SITE ADDRBSS: 3- 3 1� ��L -C �a�--� �� ZIP: .�^S 3�t � <br /> (work) <br /> ,�(�� PHONE: (home) 1/7/ ��l`s <br /> N� OF OWNER: �� ��f� A���� 1 '���' <br /> MATLIr7G AD�xEss:�-3 J� ...�`��',���r-� r��� cITY:�G� _�.- zIP: ,�".�3 �r'� <br /> /,� PHONE: `�" 7� ` 7 7 r � <br /> CONTRACTOR: �l� �-�-����22'���" <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PH�� <br /> MAILING ADDR.ESS: CITY: ZIP: <br /> N�,ME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : <br /> �2�-c <br /> STORIES: SQ. FEET OF EACH FI+O�Rs <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ -�f�����`���� — <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 /> `�.,� ,�,s�--<l DATE: �° /'�� � � <br /> APPLICI�NT'S SIGNATURE: 7%!�'�f�'� <br />