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' CITY OF ORONO - BIIILDING PERMIT APPI,ICATION <br /> Total Fee: $���./��J Date Received: <br /> Date Approved : <br /> Entered By:��� <br /> Permit�: .����'.'� <br /> AT•T• INFORMATION MUST BE SIIBMITTED IN FIILZ BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------- ---------------------------------------- <br /> THE APPLICANT IS: (circl.e one) OWNER r CONTRACTOR <br /> JOB SITE ADDRBSS: �.��. 1 �UGO f T" t�-�. ZIP: �j�J" ?j� � <br /> (work) �-(3�'-7�v�c,�c <br /> NAME OF OWNER: � '\ ��. � � o r1 PHONE: (home) ��� -�( s�� <br /> MAILING ADDRESS: �,o Z�( ('�c � o r'�I�I,CITY: c� �� ZIP: SS� 4 <br /> CONTRACTOR: v----------- -- PHONE: _ , <br /> i <br /> MAILING ADDRESS: CITY: ,' ZIP: <br /> _.` <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: Pg��= <br /> MAILING ADDR.ESS: CITY: ZIP: _ <br /> NAME: REGI STRI�TION tt <br /> TYPE OF WOR.R: New Addition Accessory Structure blove <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : A�c�(,TI o-� l lt� -� �v� �v ✓�� �"'"� <br /> � r <br /> � 0 ,r c.� � <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BSDROOMS: GARAGE ST�LS: ATT. DET. <br /> ESTIMATED CONSTROCTION VAZ�IIATION (ezcluding Iand) : $ / � , �0 � <br /> I hereby apply for a building permit and I acknowledge that the informatior. <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 = <br /> understand this is not a permit and work is not to start without a permit; anc <br /> that the work will be in acco nce with the roved plan. � <br /> APPI�ICANT'S SIGNATORE: DATE: � � _ <br />