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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �r'otal Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit tt: <br /> AT•T• INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------- <br /> THE APPLICANT IS: (circle one) 0��7NER or CONTRACTOR <br /> JOB SITE ADDRRSS: 1L10 c��wrJ �ro�G (V ��Tla ZIP: SS 3S� <br /> (work) y73�7.�$� <br /> NAMF: OF OWNER: S�n�' ��N�� �A/I'4 CjuST 1� _ <br /> PHONE: (home) y�3- ��Zg <br /> MAIZ,ING ADDRESS: sf4-►'�'�.1� CITY: (�^�, � ZIP: SS ,3.�� <br /> CONTRACTOR: �W�'C R- - pH��� <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRESS: CITY: ZIPz <br /> N�: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : TC�2 ��� fi �R'�� <br /> STORIES: SQ. FEET OF EACH FLOORs <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ �� , b00� <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 SIGNATURLr: Llr--�C�- �., L DATEs 7�2� "y � <br />