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.CITX OF ORONO - BIIILDING PER�LIT APPLICATION <br /> � <br /> Total Fee: � $ Date Received: <br /> Date Approved: <br /> Entered By: � <br /> Perntit�: �t'�� <br /> ALL INFORMATION MIIST BB SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILL Bg STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------- �------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR f <br /> JOB SITE ADDR$SS: r � ! � � .. ZIP: <br /> (work) <br /> N1�' OF OWNEfZ: t �'�' �. ��� PHONE: (home) <br /> MAILING ADDR.ESS: CITY: ZIP: <br /> CONTRACTOR: 7� ti� i �i/ (,r r `, PHONS: �,i1C r�,J``� � <br /> MAIZ�ING ADDRESS: j�l� r r�� � �.�> ` a CITY:�1,1r►�� �1'��/�j S�.�IP: � G , <br /> � - <br /> STATS LICENSE: � <br /> ARCHIZ'ECT/ENGINEER: PHONE- <br /> MAILING ADDRBSS: CITY: ZIP: <br /> 1,J�,r. RSGISTRATION ,� <br /> TYPE OF WORRs New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�� Renovate Land Alteration <br /> � <br /> PROPOSED WORK (describe in detail) :���C� tL�c�,S � � )��� �� �����>� ���" <br /> � <br /> �r�j; ,��� ;�-������l , �r����� ��� �� �= <E�r �,��t-�� �i�,� <br /> �� , <br /> STORI$S: SQ. FE$T OF EACH FLOOR: _ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> . `'X'� ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ ����� � <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 /> APPI,ICANT'S SIG'IJATDREs � DATE:�� � / �� J <br />