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t � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit�: <br /> AT•T• INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI� BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: a"��� �W 8�Yl �-G+ ZIp' � �� � <br /> (work) 4�10 3�`O�, <br /> N� OF OWNER• � �, �h� �S PHONE: (home) �`7 ( � � 2�-- <br /> —? <br /> MAII,ING ADDRESS: �aw« CITY: W�-/�-a� ZIP: .�3 °f � <br /> CONTRI�CTOR: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessor�/Structure Move <br /> Demo Remodel/Alteration Renovate N Land Alteration <br /> PROPOSED WORR (describe in detail) :��'J �OC�c�2— {"'6t�- <br /> STORIES: Z SQ. FEET OF EACH FZ�OORs � g d � <br /> NO. OF BEDROOMS: � GARAGE STAI�LS: ATT. Z DET. Z <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding 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 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 accordance with the approved plan. , <br /> APPLICANT'S SIGNATORE: + DATE: � �~ ����'` <br />