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. , <br /> CITY OF ORONO - BIIILDING PERMIT APPZICATION <br /> Total Fee: $ �, �� Date Received: <br /> Date Approved: <br /> Entered By:��'�� Permit�: ���� <br /> AT•T• INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE PI,2�N REVIEW WILI� B$ STARTF•D <br /> (See Check-off List Enclosed) <br /> � APPLICANT IS: (circle one) OWNER r CONTRACTOR <br /> JOB SITE ADDRRSS: e��:J�/ t1'V I� ZIP: �'�� I <br /> �� (work) -. <br /> x� oF owN�x: C{�;°�.�t.Q..S� �.(�� ��{��� P$orrE: �home) �l'7�� <br /> .��lAZLZNG ADDRESS: I�� (a'.i�C�!I � - CITY:� (j�Gt. ZIP: C�J'cJ�I <br /> CONTR�CTOR: �� PHONE: <br /> �=tATI.ING ADDRSSS: CITY: ZIP: <br /> STATS I.ICENSE: � <br /> .ARCHITECT/ENGINEER: Iv IA' PH�NE: <br /> 1�ATT•ING ADDRSSS: CITY: •ZIP: <br /> ATAI�a R$GISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteratian <br /> PROPOSED WORR (describe in detail) : (.1"1���X � � I / X �'' ���C f� � <br /> rPr� � n-� �,��n� <br /> STORIBS:�r� SQ. FEBT OF EAC� FZOOR: LI CaC� CA <br /> NO. OF B�ROOMS:�� GARAGE STALLS: ATT.� DET. <br /> . �c��n �-C_c�nC�e{� -�r+ee -- <br /> ESTII�SATED CONSTRIICTION VALIIATIOA (eaclnding land) : $ � <br /> I hereby apply for a building permit and I acknawledge that the informatian <br /> above is complete and accurate; that the work will be in conforman�e 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 wiI.I be in a rdance with the approved plan. • <br /> ,' <br /> � `� . � <br /> APPI�IC�NT'S SIGNA DATE. <br />