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CSTY OF ORONO -�BUIZDING PERMIT APPLICATION <br /> �/ � , �.�'� Date Received: <br /> Total Fee: $ 4�' <br /> Date Approved: <br /> � Entered By: �'.�vt=� Permit n: i �� �� <br /> AI,I. INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI, BS STARTED <br /> (See Check-off List Enclosed <br /> ----------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRA <br /> JOB SITE ADDRSSS: ��� J � _ ZIP: .__... <br /> �l ) {-TJ V" � � <br /> (work) <br /> NAM�: OF OWNER: �O� ��� i��`"� PHONE: (home) `'373 �3� <br /> MATLING ADDRESS: ��v � ���'�/ CI�: ZIP: <br /> C�NTR.ACTOR: <br /> � ,� r��.� � o� � �� pHo�: ��� i�l b <br /> MATI,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � ��� l <br /> ARCHITECT/ENGINEER: �" PHONE: <br /> MAII.ING ADDRESS: <br /> CITY: ZIP: <br /> NAME. REGISTRATION � <br /> TYPE OF WORR- New Addition Accessory Structure Move <br /> Demo . Remodel/Alteration e ova Land Alteration <br /> PROPOSED WORR (describe in detail) : ���`"���� ��� ��� <br /> STORIES: � SQ. FEET OF EACH FLOOR= <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.�3 <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 with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not er t d work is not to start without a permit; and <br /> that the work wil 1 be in cc an e with the approved plan. � <br /> . ���2 <br /> APPLICANT'S SIGNATIIRE: DATE. <br />