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CITY OF ORONO - BUIZ.DING PERMIT APPI,ICATION <br /> • , Date Received: <br /> Total Fee: $ � % Z� - <br /> Date Approved: _ <br /> Entered BY:� - Per*nitn:��,�'�� <br /> ALZ INFORMATION MIIST BE SIIBMITTED IN FIILZ BEFORE PLAN RES7IEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------- <br /> TgE APPLICANT IS: (circle one) O�dNER or CONTRACTOR <br /> JOB SITE ADDRRSS: `,Ic� � .. �C �,�'� ZIP: <br /> (work) <br /> NAME OF OWNER- ��Q�T PHONE: (home) y�� I�h3 � <br /> MATZ�ING ADDRESS: ����� ' : �C� '� . �_ CITY: (� t•,�� _ Z IP: <br /> ___��� <br /> CONTRACTOR: � �_ _ PHONE: �--��,�C `� 1��� <br /> � � � --,.� ZIP:���9 l <br /> MAIZ�ING ADDRESS- c",c �� � „ .c-_, �< CITY: � 1�('%_' - <br /> STATE LICENSE: ,� <br /> ARCHITECT/ENGINEER: PH�� <br /> MAILITIG ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Niove <br /> Demo Remodei/Alteration Renovat�� Land Al.teration <br /> PROPO5ED WORR (describe in detail) : � �� �m � ' �� � ' <br /> STORIES: SQ. FEET OF EACH FLO�Rs <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ <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 wi�ha�he <br /> ordinances and codes of the City and with the State Building Code, <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 /> - '�`� � � 2 _ �.�� <br /> APPLICANT'S SIGNATORE: �%�/�' - '' DATEz J � <br />