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CITY OF ORONO - �I�NG PERMIT APPLICATION <br /> Total Fee: $ /�` � b Date Received: <br /> Date Approved: <br /> Entered By: ��� � permitA: �� '� � <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) � <br /> -------------------------- <br /> --------------------- <br /> THE APPLICANT IS: (circle one) O��INER or CONTRACTOR <br /> JOB SITE ADDRSSS: '� `��/" � S/�Q/ll1Cli�[,t ��' ZIP: ��-� �� <br /> (work) �}7/- �4SS' � <br /> x� oF owr�x: �/�1a ��� �`/� T/���/� PHorrs: (home) �7/- 5�7t <br /> MAILING ADDRESS: �.d � �S c,� Lf'7 � CITY: s/��li�� �9/r ZIP: S-�,� 8 `� <br /> CONTRI�CTOR: �6 � �U����.1'�•� PHONE: '���'� � � 7 � <br /> IKAILING ADDRI�SS: Z S 2 6 (�/�J�G �f _ CITY: `+�/�Y���'¢ Z IP: �-r-3 �/ <br /> STATE LICENSE: # /'� 6�'�� <br /> ARCHITECT/ENGINEER: /�� PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessor Structure <br /> Move � <br /> Demo Remodel/Alteration Renovate� Land Alteration <br /> PROPOSED WORR (describe in detail) : J�Q�a� fi <br /> STORIES: � SQ. FEBT OF EACH FLOOR= �O Q� <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ -��� � . � o <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 will be in accordance with the approved plan. <br /> DATE: 8 .� %� <br /> APPLICANT'S SIGNATUREa <br />