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' r CITY OF ORONO - BUILDING PER�IT APPLICATION <br /> w <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: u, �� �,� ,_ <br /> Permit,r. � _ <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII.L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------------------- <br /> THE APPLICANT IS: (circl.e one) OWNER or CONTRACTOR <br /> �-Jh� ,f' � ZIP: � ���� S � <br /> JOB SITE ADDRSSS: ?5 /� /V t ` �i9'�� , t� ` <br /> (work) <br /> � <br /> NAML� OF OWNER: �. � " PHONE: (home) � -� � ,- <br /> '! � zzP: �S^ <br /> MAIZ�ING ADDRESS: � � . � � �� CITY: <br /> CONTRACTOR: � � PHONE: <br /> MAILING ADDR.ESS: /�.�3� CITY: ZIP: <br /> STATE LICENSE: � �uJT- <br /> ARCHITECT/ENGINEER: �� PHONE: <br /> MAILING ADDRESS: ��.�_ CITY: ZIP: <br /> NAME: �'(,�/� REGISTRATION � <br /> TYPE OF WORR: New Addition Accessary tructure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � , ' � 'S' , � <br /> �J � �� � <br /> STORIES: N� SQ. FE$T OF EACH FLOORs <br /> NO. OF BEDROOMS: GARAGE STAI.LS: ATT. DET. <br /> � /; <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding Iand) : $ ����v_, <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 t e State Building Code; that I <br /> understand this is not a permit work i o s art without a permit; and <br /> t h a t t h e w o r k w i l l b e i n a c c o r e w i h� e roved plan. � <br /> ; /� ) . , <br /> � C DATE: ^ _� <br /> APPLICANT'S SIGNATURE: � � <br /> / <br /> �' . . . . <br />