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� CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Date Received: <br /> Tatal Fee: $ <br /> Date Approved: <br /> Entered By: permit n: � �J/�' <br /> ALL INFORMATION MIIST B$ SUBMITTED IN FULL BEFORE PI�AN RE�7IEW WILL BE STARTED <br /> (See Check-aff List Enclosed) <br /> ----------------_--------------- <br /> THE APPLICANT IS- (circle one) O�dNER or CONTR.ACTOR <br /> /N � � ZIP: �'���� <br /> JOB SITE ADDRSSS: ���� `����L� � � �y,� <br /> (work) ����T�-� <br /> � / / //7� �� <br /> N� � <br /> F OWNER. /L° /�� L"� ��C�� i1 � PHONE: (home) `�/ ,-------�� <br /> MATLING ADDRESS: ��i1 r (� CITY: ZIP: <br /> i <br /> CONTR.ACTOR: / ��'� PH�� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> N��: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �` <br /> PROPOSED WORR (describe in d tail) : " � `�-5 — <br /> � �,�-� ���?�il� ,�''�%-�� /� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: G�GE STALLS: ATT. DET. <br /> ESTIMATF..D CONSTRQCTION VALIIATION (excluding 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 wi�ha�hl <br /> ordinances and codes of the City and with the State Building Co erfiit; and <br /> understand this is not a p mit and work is not to start without a p <br /> that the work will be in c r ce-wi the approved plan. <br /> ' � _----____._ / J <br /> APPLICANT'S SIGNATIIRE� DATE:/�( ( � <br />