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� � CITY OF ORONO - BIIIZDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> � Entered By: permit�: <br /> AT•T• INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PI�N �v=� �Z`I' $$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------- <br /> THE APpZICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDRSSS: 15 �5 ��ore �N� ,�r�`r�- ZIP: SS 3 9 / <br /> (work) <br /> NAl� OF OWNER: / i M //�mo S ^ PHONE: (home) �j73�S��lo <br /> MATI,ING ADDRESS: ��� � �/-,�� ,.•� �c���CITY: Q � ZIP: .�;�35� <br /> CONTRACTOR: S. cr�'e � r�- PHONE: �7/- �1'/�-� <br /> MAII,ING ADDRESS: ��i �S� �� �<o��e !/r r�e CITY: � J ZIP: �S-_C_3�v� <br /> STATE LICENSE: # �y3 a <br /> ARCHITECT/ENG PHONE: <br /> MAII,ING ADDR$SS: CITY: ZIP: <br /> N�: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> �' / -..J <br /> PROPOSED WORK (describe in detail) : <br /> � e o v� (� o� <br /> ��,c� �� 1�C � <br /> STORIES: SQ. FEL�T OF EACS FLOOR: <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> NSTRIICTION VALIIATION (eacluding landl : $ �I mOC�� <br /> �STIMAT�1 C� <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 /> APPLI <br /> CANT'S SIGNATURE: � _ DATE: '���'� <br />