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, _ , ' CITY OF ORONO - BIIIZDING P�R�LIT APPLICATION <br /> Date Received: <br /> Total �ee: S � <br /> Date Approved: <br /> ��tered By: � "`'� � '� � <br /> 1 <br /> Permit?: � <br /> AT•T• INFORMATSON MIIST BR SLTBMIT'�ED IN FffI�I' BEFOR.E PI,�N RES7IEW WII�L BB STAR�ED <br /> ( See Check-eff List Enclosed} <br /> -------------------------- <br /> --------- m <br /> THE A.PPLICANT IS: ( circle one) OWNER ar CONTRAC�OR � <br /> S'�D ZIP: <br /> JOB SITE ADDRSSS: <br /> (warx) <br /> '�A� OF OWNER- � (MO��,�1 '� �`C�-Pe-`� ��'" PHONE: (home) �"7�-�3 S <br /> MATI,ING ADDRESS� `��� �f�2� �_ CITY: W�� ZIP: � S3`'( � <br /> PHONS: <br /> CONTRACTOR: <br /> 2��SLSNG ADDRESS: CITY: ZIP: <br /> STATS LICENSE: n <br /> �CHSTECT/ENGINEER: PHONE: <br /> :dAII,ING ADDP,.ESS: CI�: 2��: <br /> x�: RBGISTRATION ;= <br /> � �,� <br /> TYPE OF WORR: New Addition Accessory Struct�are .o Te_ <br /> DP�o Re.*nodel/Alteration Renovate Land Alterat�on <br /> �ROPOSED WORR (desc ibe 3.n deta�l) : <br /> ! � �t�fl.� L° <br /> STORISS: SQ. FEET OF EACH FZOOR: <br /> ,,�Q_ OF B�gpp�: GARAGS STALLS: ATT. DET. !� <br /> �STIMATED CflNSTRIICTION VALUATION (eaclnding Iand) : $ <br /> � hereby �DL71Y for a building permit and I acknow].edge that the informatio= <br /> above is complete and accurate; that the work will be in conformance with thE <br /> �rdinances and codes of the City and with the State Building Code; that � <br /> •�nderstand this is not a permit and work is not to start without a Fermit; anc <br /> �'�at the work wil.l be in accordance with the approved plan. � <br /> A.PPLICANT'S SIGNATURE: <br /> �..> �J DAZTE: 5�Zb'�� <br />