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. � • , � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ � y�` • �"� Date Received: �U�-%�- `/ �/� <br /> �„ Date Approved : <br /> Entered By: /)�(� Permit�: �S //` <br /> AT•T• INFORMATION MDST B$ SIIBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER NTRACTOR <br /> JOB SITE ADDRESS:_���� �C��C�C7 �`G'._ � - ZIP: Cj �� <br /> (work) � <br /> N� oF owrr�: �\b��c=� ������.�1 PHONE: (home) �1"1�--`2�"c�1�-7 <br /> MAILING ADDRESS:�,q�1� �1 LA�7 _�� .Kd CITY: D ���� ZIP: ���jCJ J <br /> CONTRACTOR: �� 'U�`Cl�)�C��I I�OV� � __ PHONE: ��� `O`� 3� <br /> MAILING ADDRESS: ��(� ���7'(�i- �,\I(�� _�{� , CITY: �ZIP: -`- � <br /> STATE LICENSE: � 1 �1�1� <br /> ARCHITECT/ENGINEER: S�� '���� lr1 PHONE: <br /> MAILING ADDRESS: pO Q�Q`�C 1-{� L�`�� CITY: O ZIP: `�` � '. <br /> NAME: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure Niove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: G�IRAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALIIATION (ezcluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above i s comp 1 ete and accurate; that the work wi 1 1 be in conf ormance 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 wiI 1 be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: /��I�J -I �-�' <br /> , ' . . <br />