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• � ~ CITY OF ORONO - BDII.DING PERMIT APPLICATION <br /> Total Fee: $ _�� !�• / ?� Date Received: <br /> , <br /> Date Approved: • <br /> Entered By:�l� Permit#: �2 IcZ/ <br /> ALL INFORMATION MDST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ZIp= <br /> (work) - <br /> NAME OF OWNER:��� '1"fi',I11� PHONS: (home)�}� -"��/ <br /> MAILING ADDRESS:�� �_ CITY:m����� ZIP: <br /> CONTRACTOR:��� i-�� -� � PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> STATS LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE:�-{�--�— <br /> MAILING ADDRESS: 3�� ��1G����IT�:�.�l�t-�'T�" ZIP: <br /> NAME: I��- REGISTRATION # <br /> TYPE OF WORR: New � Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :����,i , -��V �- �`�� <br /> �'n��,�� � <br /> STORIES: � SQ. FEET OF EACH FLOOR: ���� <br /> NO. OF B$DROOMS:�_ GARAGE STALLS: ATT. � DET. <br /> ESTIMATED CONSTR�CTION VALIIATION (eacluding land) : $�%��� <br /> I hereby apply for a building permit and I acknowledge that the inf ormation <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 cc da c with the approved lan. • <br /> APPLICANT'S SIGNATORE: � DATE. <br /> . . . ...... .. . . . . : _ _. . . ; <br /> . �. .. ...... .... . <br /> . . .._. . ._ .. <br /> _ _ _ . .. _ . , <br /> � <br />