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i <br /> t � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> . <br /> Total Fee: $ ��7"• i J _ Date Received: <br /> Date Approved: <br /> Entered By:� - <br /> Permit#: '�J`�� 3 <br /> ALL INFORMATION MIIST BS SIIBMITTED IN FDI�L BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) � <br /> ----------------------- <br /> THE APPLICANT IS: (circle one) O�+7NER or _ NTRACTOR <br /> JOB SITE ADDR$SS: �_i'/�� �hOr��/�� 4/�� ZIP: ����� <br /> (work) % �� l/� <br /> NAI�: OF OWNER: � � PHONE: (home) ��4 ���� - <br /> MAII,ING ADDR.ESS: ��D, �ff/f 2�/,f��-F{/�p �CITY: ��i�� Z IP:-s����a I <br /> �3�—�4�a� <br /> CONTR�CTOR: �- l�/ •v— r PHONE: ����.�-S�b <br /> MATI�ING ADDRSSS. /DD/ ������� cIT�: � � zzp: ...�.�-��93 <br /> STATE LICENSE: # ���� <br /> ARCHITECT/ENGINEER: P$��' <br /> MAII�ING ADDRESS: ZIP: <br /> N��: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> D�o Remodel/Alteration Reno�e Land Alteration <br /> �'� <br /> PROPOSED WORR (describe in detail) : � � <br /> STORIES: SQ. FEET OF EACH F'LOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 2 r <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding Iand) : $ v�O� � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the w rk will be in conformance with the <br /> ordinances and codes of the City and the State Building Code; that I <br /> understand this is not a permit d w s not to start without a permit; and <br /> that the work will be in acc the approved plan. � <br /> APPLICANT'S SIGNATOIZE: DATE: / <br />