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CITY OF ORONO - P.��II,.�T.NG PERMIT APPI,ICATION <br /> Total Fee: $ �d' <br /> c� Date Received: <br /> ' Date Approved: <br /> Entered By: �-�...�-�v • ���5 <br /> Permit n: <br /> AT•T• INFORMATION MIIST B$ S� Che�c�kD-offFListBEn�Close� �I� �� B$ STARTED <br /> -------------------------- <br /> ------ ------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> r ZIPt �.��--�� �S� <br /> JOB SITE ADDR$SS: c�OjC� � T� ��`� ��� <br /> (work) � <br /> -�! . � � PHONE: (home) <br /> NAI� OF OWNER: <br /> MATI�ING ADDRESS: _`�� � _ CITY: ZIP: <br /> �b►��� �t-�� � �l c r r�� �, �— �����--- — PHox�:�-`7��__ �'7� �. <br /> --��-------- <br /> MAILING ADDRESS: CITY' ZIp. <br /> STATE LICENSE: ,� <br /> ARCHITECT/ENGINEER: Pg��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�E� R.EGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Niove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> . , i <br /> PROPOSED WORR (describe in detail) : <br /> �� n �T I � �f".h r__�—�� b�. 1 �'� _ <br /> STORIES: SQ. FEET OF EACH FLOOR: �' I� 0 —�O ,�.(�,�' � ��•�-�`-�'7 L���'� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding 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 accordance with the approved plan. <br /> /-.1 <br /> APPLICANT'S SIGNATQRE: � �� 1 DATE: U <br /> l � <br />