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CITY OF ORONO - BIII_'�NG PERMIT APPLICATION <br /> � ��� Date Received: <br /> Total Fee: $ �� � � <br /> Date Approved: <br /> Entered By: ���,✓`� Permit n: �%/ 3�-> <br /> AT•T• INFORMATION MUST B$ SIIBMITTED IN FDLL BEFORE PI�N REVIEW WILL B$ STARTED <br /> (See Check-aff List Enclosed) <br /> --------------------------- <br /> THE APPLICANT IS: (circle one) OL�iNER or CONTR.ACTOR <br /> JOB SITE ADDRSSS: ,� o� �� � �r��� Al 0�,�� ZIP: �S� �71 <br /> (work) <br /> pgpNE: (home) <br /> NAI� OF OWNER: �r �� �.r ( �� � �`_ � <br /> MAILING ADDR.ESS: Su vv� � _ CI�= ZIP: <br /> CONTRACTOR: ��� � �C� C �"��"r i u; �' _ PHONE: <br /> MAILING ADDRESS: ��,�/� l. ,•.��� �� CITY: /i:r�r�r ���-i u/ ZIP: �.��S � <br /> STATE LICENSE: ,� S � � � <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> N�ME_ REGISTRATION tt <br /> TYPE OF WORR: New <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> _/'' a%� r o� �. i o�/57��%� <br /> PROPOSED WORR (describe in detail) : �C� r � �r <br /> \ <br /> STORIES: �y� SQ. FEET OF EAC� FLOOR= <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � .j�� ^� <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�hl <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 appro plan. <br /> �" 9 <br /> ;J� <br /> �' �s �� �� DATE: � � �I � �c� <br /> APPLICANT'S SIGNATIIRE: <br />