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� `� CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit�: <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: <br /> I���`��_�����=��1 �� Z I P: :.1'`� I <br /> ���.��1r L���j G���f��� ���-�l� � (work�7J ��' � <br /> N� OF OWNER: �b-3 �- � PHONE: (home) <br /> MAILING ADDRESS: c� JV�-'�\ l CITY: ZIP: <br /> _=��� � � �, S� / � `%�-- <br /> �` <br /> CONTRI�CTOR: PH��' • <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��= <br /> MAIZING ADDR$SS: CITY: ZIF: <br /> p�g_ REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �_�� °'72�'/1 �..��o�' <br /> PROPO WORR describe in deta' ' <br /> 1�-- I l��L�_ • � ' i . ��� , -��j� � — <br /> _.T L -,� �-��� �'�- � � <br /> STORIES: SQ. FEBT OF EACH FI�OOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ <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 acco dance wit the approved plan. � <br /> APPLICANT'S SIGNATURE: ��'`� DATE: � I �L✓ <br />