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� CITY OF ORONO - BIIILDING PER�IIT APPLICATION <br /> Total Fee: $ �; �,� `��.� <br /> Date Received: <br /> Date Approved: <br /> � Entered By: ��� - - Permit tt: �-> //.� . <br /> AI�I, INFORMATION MIIST BS SIIBMITTED IN FDLL BEFORE PLAN RE57IEW WILL B$ STARTED <br /> (See Check-off List EncZosed) <br /> ------------------------------------------- <br /> THE APPLICANT IS: (circl.e one) OWNER or CONTRACTOR <br /> � JOB SITE ADDRSSS: �� t� c7Y1�'�� l ,lv1 1. 11� ZIP: ��J �� I <br /> (wo rk)���' I ���� <br /> NAML OF OWNER' �`�l�.v"T � 1 ' i f���� T�(�K�i� PHONE: (home) 't���`-� ��vJ <br /> MATLING �,nnx�ss: 2��� c��v� ���,� �z cz�: w-a�.�7_�T!� _ zzP: � �i � <br /> l ,� i PHONE: �� <br /> CONTRACTOR: � �("Y�/1� ��t ��� <br /> MAILING ADDRESS: CITY:��' � ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITYs ZIP- <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> Demo Remodel/Alteration Renovate_�� Land Alteration <br /> PROPOSED WORR (describe in detail) : `� <br /> r�., ) <br /> �� l 1�1� (' C <br /> ,1 <br /> �� <br /> STORIES: SQ. FEET OF EACH FLOOR= <br /> NO_ OF BEDROOMS: GARAGE ST�I�S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �j�� ��1 <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 Buil.ding 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 app roved plan. � <br /> p�ppZ,ICANT'S SIGNATIIRE <br /> � , � �j��� � DATE: "� �� /�_ <br />