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' CITY OF ORONO - $IIILDING PERMIT APPLICATION <br /> Total Fee: $�� S� Date Received: <br /> _ Date Approved: <br /> Entered By:�. permit#:_`j�� <br /> AT•T• INFORMATION MDST BB SIIBMITTED IN FDLL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: � � � ZIP: � <br /> � <br /> (work) <br /> NAME OF OWNER: � �p� PHONE: (hom <br /> MAILZNG ADDRBSS:�� � c :l1� CITY: ZIP: <br /> CONTRACTOR: � � PHONE: <br /> MAILING ADDRESS: � CITY: ZIP: <br /> STATE LICENSE: # L����! <br /> ARCHITECT/ENGINEER:���(1l1 I � PHONE: <br /> Tr�=- <br /> MAILING ADDR$SS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :���L1�.1.�' �,�,�L� � ► 7'� F-�t 1 v 1 / <br /> �. � 1�'� ��?��� � <br /> �TORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATT.� DET. <br /> BSTIMATED CONSTRUCTION VALIIATION (eacludinq land) : $___����(- iC/ <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 permi and work is not to start without a permit; and <br /> that the work will be in c nce wi the approved plan. <br /> APPLICANT'S SIGNATORE: DAT13: / <br />