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� � CITY OF ORONO - BDILDING PERMIT APPLICATIaN <br /> � <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: �.l permit;: '�n l 3 <br /> AT•T• INFORMATION MUST BE SIIBMITTED IN FULL BEFORE PLAN RE�7IEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------ <br /> TgE APpI,ICANT IS: (circie one) OWNER o CONTRACTOR <br /> JOB SITE ADDRBSS: � � �-U `, � ZIP: _ <br /> (work) �� � <br /> � �� <br /> ,/� n {� PHONE: (home) J ' � <br /> NAME� OF OWNER:���/G����� � �� � V�' � <br /> MAII,ING ADDRESS: ��� � c�'CG ��� _ CITY: ��vvL� ZIP: <br /> CONTRACTOR: �� G-��' G�� 'c PHONE: ������ <br /> MAILING ADDRESS: <br /> �� • � r i . CITY: �� ZIP: r <br /> STATE LICENSE: � ���� <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRESS: CITYs ZIP: <br /> N��: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> .�- � � -� � <br /> PROPOSED WORR (de cribe in detail) : � � <br /> ; , ; � <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAI�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ ���G <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 1 be in a, ordan with the approved plan. � <br /> ,� DATE: �� <br /> APPLICANT'S SIGNATURE: <br /> �r� <br />