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CITY OF ORONO - BUI.T��DING PERMIT APPLICATION <br /> Total Fee: $ ������ Date Received: <br /> Date Approved: <br /> Entered By:��l� u. (���5`� <br /> Permit tt. <br /> AT•T• INgpRMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN RE�7IEW WILZ B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------- <br /> TgE APPLICANT ISc (circle one) ��`..�.'�` or CONTRACTOR <br /> JOB SITE ADDRSSS: -3� � C�I-S � l� V� ZIP' <br /> (work) ��t� ,���' � <br /> NAME OF OWNER: ���F3�111 �'� ��� PHONE: (home) `�1� ���C�'� <br /> MATLZNc �nx�ss: �75�.� �.�a�t��. ,� �� cz�: ��� --� Z��1��`�� zzP: 5>�>`I/ <br /> CONTRACTOR: '��; ��, PHONE: <br /> 1KAILING ADDRESS: CITY: ZIP: <br /> STATE I,ICENSE: # <br /> ARCHITECT/ENGINEER: P$��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�: REGISTRATION tt <br /> f�Y, .� ��y�.t..� � <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �'������� � �� ' ��C' � K ' � �` � � z r t� <br /> STORIES: SQ. FEET OF EACH FLOOR= <br /> NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET. <br /> ,. <br /> C �_ <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � L 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 /> that the work wil.l be in accordance with the approved plan. � <br /> � /�_ . <br /> ;- - r <br /> APPLICANT'S SIGNATORE: '� � ��� i'� ���-'''-� __. DATEs ({,' I����"� <br />