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�� <br /> � CITY OF ORONO - BUIZDI�IG PERi�iIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: u, <br /> Permit tt. <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILZ� BEFOR.E PI�AN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) 0�+7NER o ONTR CTO <br /> � �- n � � zzP: S 5 3 i/ <br /> JOB SITE ADDRBSS: � ��% �'' <br /> (wo r3c) <br /> �f� �: PHONE: (home) 7` � ' �S^/ <br /> N� OF OWNER: � <br /> MAII,ING ADDRESS 4��l�����^�J ��'� ' CITY: (�/'.p�'>sl- ZIP: JS`�G� <br /> CONTRl�CTOR: /� ��-� PHONE: '��Y ��� Y <br /> A ' ' � <br /> MAILING ADD 5�57�� �) �Cl�• �� �c�C� � _ CITY:�.�'�i''u�c,/��� _ ZIP: ��-��� <br /> 1 7 <br /> STATE LICENSE: � �G� S � _ <br /> ARCHITECT/ENGINEER: PH��' <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> p�: R.E6ISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure riove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : '� -�'�'� �� `�� <br /> STORIES:�_ SQ. FE$T OF EACH FLO�R: <br /> NO. OF BEDROOMS: GARAGE STALI,Ss ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � 7 b �• Gv <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 SIGNATOItL� <br /> , �'��� DA���(�-c.r'� ��� Z <br />