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< .r CITY OF ORONO - BIIILDING PERMIT APPI�TCATION <br /> Total Fee: $ ���1vr � Date Received: <br /> Date Approved: <br /> � Entered By: � <br /> Permit�: ,'/'� � � <br /> AT•T• INFORMATION MDST BS SUBMITTED IN FIILI� BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) � <br /> --------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRAC <br /> � JOB SITE ADDRRSS:�� �O ��.,�,ST ZIP: ��5���_ <br /> (work) <br /> NAI� OF OWNER: ���� � C! PHONE: (home) ��i/9—��7� <br /> M�ILING ADDRESS: ���1 /9��t�/1 S T cl�: C��v�/D zIP: s�.��/ <br /> cox�x�,c�roR: �C..-�-�- �r��/�l�a' paor�: ��-3- � �,'� .,� <br /> . M�,II�ING ADDRESS: S���� �CC El-�`i�•� ,�� cIT�:�,���'� �" Z1P: .S�S�l��� <br />� STATE LICENSE: # ,/ O S� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDR$SS: CITY: ZIP: <br /> N�: REGIST�.tATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> Demo Remodel./Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ����'�� �" �� �� � ,�� � �� <br /> e <br /> STORIES: SQ. FEET OF EACH FLO�R: ?�e <br /> NO. OF BEDROOMS: G�GE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (escludi.ag land) : $ � d� <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 permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. • <br /> APPLICANT'S SIGNATURE: <br /> e DATE: �' � <br />