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� - CITY OF ORONO — BIIIZDING PERMIT APPLICATION <br /> Date Received: <br /> Total Fee: $ <br /> Da�e ADproved: <br /> intered By: � permitr: <br /> �L INFORMATSON MIIST BS SIIBMITTF.D IN FIJ�L 8�0� P�N REVIEW WII`L B$ STARTP� <br /> (See Check-off List Enclosed} <br /> ------------------------- <br /> ---------- <br /> � AppLICANT IS: { circle cne) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: � V' � � �- � ZIP: � �/G Cl <br /> (work) ~� l )O <br /> V, � �,G PHONE: (home) CI 7�OZ� <br /> ?,IAM�: O� awN�: �i� � C� 1 <br /> MATI,ING ADDRESS: / �l � I�IC�_1'f-�� /rt�� CITY: � � k Q ZIP: s � J �i <br /> CONTRACTOR: S �=� � I PHONS: <br /> ?dASI�ING ADDRESS: CITY: ZIP: <br /> STAZ'S LICENSE: ,� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATZING ADDP.BSS: <br /> CIZ*ys ZSP: <br /> N�: RBGISTRATION ,� <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : <br /> � r � �► ��� <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> - � oc� �� <br /> ESTIMA�ID CONSTHIICTION VALUATION (eaclnding Iand) : $ <br /> � hereby apply for a building permit and I acknowledge that the infor�atio: <br /> above is coutplete and accurate; that the wor3c will be in conformance wi.��h �h� <br /> u <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a rmit and work is not to start without a permit; anc <br /> �zat the wvrk will be i ac dance with the approved plan. • <br /> ,/� '`• DAZTE- �� � �r 9� <br /> p,ppI,ICANT'S SIGNATDRE: �1 <br />