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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 1 w <br /> f <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: �� � <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLIGANT IS: (circle one) OWNER or CONTRACTOR <br /> �---_ -- <br /> JOB SITE ADDRSSS: �� S � cI c��t; � c� ZIP= <br /> (work) <br /> � // � <br /> NAI�? OF OWNER: (,� , r �; ��` � ��. PHONE: (home) <br /> MAILING ADDRESS:�-'�-7c^-.�' .�(��- �I�, i�-a�, � ��CITY: ���'1i.)c� ZIP: <br /> CONTRACTOR: � o`� >o � - � ,r_:'t_ ' PHONE: L��/� �/.��- �� <br /> 1 �� � ^ r <br /> MAILING ADDRESS: -�'�'�{� /U, ���� � .�/f� u � CITY: �r L:_ �<_� ZIP: <br /> STATE LICENSE: # �L��-=;�� <br /> ARCHITECT/ENGINEER: PH��= <br /> MAILING ADDRSSS: CITY: ZIP: <br /> Np,Mg: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : -�� / r��^� T T T� �c�� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �,c� <br /> ESTIMATED CONSTRUCTION VALIIATION (excluding Iand) : $ ��c-�� — <br /> I hereby apply tor 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 wiI 1 be in accordance with the approved p an. <br /> � ' <br /> ,-- �,=� <br /> APPLICANT'S SIGNATURE:/'� � _�__._.___ DATE: ,_�� /�- �.�--. <br />