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. ,� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ _��� �� Date Received: <br /> � <br /> Date Approved: <br /> Entered By: � �� permit�: ��'� � <br /> AT•7• INFORMATION MIIST BB SIIBMIT'��D IN FIII�L BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> ------------------------------------ ----------------------------------------- <br /> THE APPZIGANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: L Z$ �h-2v y CI�-�tS Q � �"_. . �r o ►^� ZIP: .S .5 3�l 1 <br /> (work) � y2- 3� �� <br /> N� oF owr�Ex: Co h ��e 1� S � � � � PHorr�: (home) Ll t�9- R$ L4 <br /> IKAILING ADDR.ESS: ( ZS� C �e�x C�� �r • CITY: W��,�u ZIP: S S 3q 1 <br /> CON�CTOR: S�1M p$��= <br /> MAIZING ADDFZ$SS: CITY: ZIP: <br /> STAT$ LICENSE: ,� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY= ZIP' <br /> g�: RBGISTR2�TION n <br /> TYPE OF WORR: New Addition Accessory Struciure Move <br /> Demo Remodel/Alteration X Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ���h � �'a C �o S C t S � v�--o G <br /> �M U � r'G G V"� <br /> STORIES: SQ. FEBT OF EACH FI,OOR: a� �� � D <br /> NO. OF BBDROOMS: GARAGB STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ <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 /> unde�stand this is not a perm ' t a d work is not to start without a permit; and <br /> that the work will be in acc rda ce with the a proved plan. <br /> .�APPLIC.ANT'S SIGNATDRE: , DATE. Z <br />