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� CITY OF ORONO - BUILDING PER�iIT APPLICATION <br /> Total Fee• $ j�. Date Received: <br /> Date Approved: _ <br /> Entered By: '/ u, <br /> Permit,r. <br /> AT•T• INFORMATION MDST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WI71L BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OG�INER or CGNTRACTOR <br /> JOB SITE ADDR$SS: ��S� �J'1 %�sl� �� � �_ ZIP: <br /> (work) <br /> � ��E'�`' j��C��1 PHONE: (home) <br /> NAME OF OWNER: �E' G� I i - <br /> MATZING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ��U��.,� �'��31.� ,'� �� PHor�: S�� �'i'�_ <br /> MAILING ADDRESS:�(]/ �U{�/Tr�� ,� CITY: ,l�:��/ 1 � /�� ZIP: 5 Z <br /> STATE LICENSE: # / Gi �� (� <br /> ARCHITECT/ENGINEER: Pg��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�ME: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure MovF � <br /> Demo Remodel/Alteration Renovate Land Alteration_ <br /> PROPOSED WORR (describe in detail) : �l /� �"�%U 5� � ����' � <br /> STORIES: SQ. FEET OF EACH FLO�Rs <br /> NO. OF BEDROOMS: GARAGE STAI�I�S: ATT. DET. <br /> u� <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ � '3�U <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 /> i l � <br /> APPLICANT'S SIGNATDRE: � DATE: f <br />