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' . CITY OF ORONO - BQILDING PERMIT A.PPLICATION <br /> Total Fee• $ � Date Received: � � � ��/ % <br /> Date Approved• ^i '" � - � z- <br /> Entered By: � permit�: "► � �� <br /> AT•T• INFORMATION MIIST B$ SIIBMIT'�SD IN FIILI� BEFORE PI,AN REVIEW WI7�L B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: � �� � � 1�"' �� ��N ���.� L ZIP: <br /> (work) !��5 "�oss'� <br /> r � �`:�i�i��� <br /> NAML OF OWNER: � ����:- ,c>�-��,..�� �✓�{' `PHONE: (h ome) <br /> PSAILING ADDRESS: PC� � '� t� c�� CITY: v�wu..,>r,��� ZIP: ,�� y � <br /> cox�cTOR: �� ��� ': - (�,� � Paox$: S S'��i�e�� <br /> MATLING ADDRBSS: j� � � �� �� 1� CITY: dy����•,°�-�, ZIP: `7�.�� �1 c� <br /> STAZ'S LICENSE: $ <br /> r�RCHITECT/ENGINEER: PHONE: <br /> MAILING ADDR$SS: CITYs ZIP: <br /> ��: RBGISTRATION n <br /> `�YPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : �"`r � <br /> STORIES: SQ. FEBT OF EACH FZOOR: <br /> NO. OF BSDROOMS: GARAGB STAI.I�S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ `���"�-���--� <br /> � hereby appl.y 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 wiil be in accordance with the approved plan. � <br /> —� �'��U�--�-. _. ' L_ DATE:��� `� � <br /> APPLICANT'S SIGNATURE�`�__ �' �--�"�- � <br /> R <br /> � <br />