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4 .J* CITY OF ORONO - BUILDING PERIHIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Wintered Bv: Permit r: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -- -- --------------------------------------- <br /> ----------------------------- - <br /> :.M APPLICANT IS: (circle -one) r CONTRACTOR <br /> ;OB SITE ADDRESS: Z`-1� ,1��1 ZIP: <br /> (work) <br /> VAME or OWNER: PHONE: (home) 4-13-71100 <br /> �j `��/� <br /> I�.AILING ADDRESS: `�M CITY: 4)" `' ff--- ZIP: <br /> PHONE: <br /> CONTRACTOR: <br /> :-AILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: T <br /> RCHITECT/ENGINEER: PHONE <br /> ,AILING ADDRESS: CITY: ZIP.. <br /> 1AME: REGISTRATION T <br /> -yPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> ?ROPOSED WORK (describe in detail) : IFALI— Psi,—X> LEP���- <br /> i <br /> ,TORIES: SQ. FEET OF EACH FLOOR: <br /> No. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> eSTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> hereby apply for a building permit and I ackncwledge that the information <br /> move i s comp 1 ete and accurate; that the work wi 11 be in conf ormance with the <br /> rdinances and codes of the City and with the State Building Code; that I <br /> aderstand this is not a permit and work is not to start without a permit; and <br /> .zat the work will be in accordance with thea proved plan. <br /> DATE:ajA <br /> '.PPLICANT'S SIGNATIIRE: <br />