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. <br /> � CITY OF ORONO - BUILDING PERMIT APPI,ICATION <br /> ��Total Fee: $ ,'�;,�.c z Date P.eceived: <br /> Date P.pproved: <br /> Entered By: ',��', <br /> Permit�: �!'�i c.. <br /> AT.T• INFORMATION MIIST BE SIIBMIT'�ED IN F'DLI� BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: � ` � �'�'" ��1 � C' ZIP:����-�� � <br /> (work) ��r��' ��.� <br /> NAMI? OF OWNER:�=�-t �[���;G�f �l._J�1.1(.�.�U1� PHONE: (home)�710'���f <br /> I�SA.ILING ADDRESS: � l �S �1'^L�� �i�l � � � CITY:�� _ ZIP: � � <br /> CONTRACTOR: ` (� PHON$: <br /> ?�3AILING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> NAME; RRGISTRATION � <br /> TYPE aF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> ; <br /> PROPOSF.D WORK (describe in detail) : ''� r"' � <br /> � � � V � ��11 �` � — <br /> � <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: C:ARAGE STAI.LS: ATT. DET. <br /> - Lc.;��c�:r � � �� <br /> -� m�-�r,c�� <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $�,(�t'Y� c��- �;L�� . <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 /> �hat the work will be in accordance with the approved plan. <br /> ,, <br /> APPLICANT`S SIGNATDRE: � . -' DATE: '��`:� " '�;� <br /> l <br />