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CITY OF ORONO - BUILDING PER�iIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: ./�� Permit n: ���i <br /> AT,T• Ir7gpRMATION MUST Bg SIIBMITTED IN FIILL BEFORE PLAN 12EVIEW WILI� BE STARTED <br /> (See Check-off List Encl.osed) <br /> --------------------------- <br /> THE APPLICANT ZS: (circle one ) 0��1NER or CONTRACTOR <br /> ��0� � <br /> JOB SITE ADDRBSS: �-�c�`.�t+� c�� � �r �C o ��2y'�IP: <br /> (work) <br /> NAMI: OF OWNER: 'T� '�^ �'1 c S���-� ^ PHONE: (home) ' <br /> MAII,ING ADDRESS: ,;1$� �'" C'c�,S�Z P7 2� CITY: � rc.� v ZIP: <br /> CONTRACTOR: ��' �� PH��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodei/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �-��4 ���� ���^� '`f <br /> STORIES: % SQ. FEET OF EACH FI�OORs /�U� <br /> NO. OF BEDROOMS: GARAGE STI�LLS: ATT. DET. <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 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 app roved plan. <br /> �-r <br /> APPZICANT'S SIGNATDRE: � �-�' __�� DATE: � �--5� <br />