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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ �� � �5 <br /> Date Received: ���� �5 <br /> Date Approved : <br /> Entered By: -_��'' u �, ���1 > <br /> Permit,r: <br /> AT•T• INFORMATION MIIST BS SIIEMITTED IN FIILL BEFOR.E PLAN RE�7IEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------ <br /> ------- <br /> ------------------- --..- <br /> Z*gg AppLICANT IS: ( circle �ne) O��TNER or CONTRACT� <br /> JOB SITE ADDRBSS: ..� S s o� -.k ^ ZIP: S� ��� - <br /> (work) <br /> N� OF OWNEFt- j�lL/ G�i'��� PHONE: (home)��� I� 7� <br /> MAILING ADDRESS: � S� �"� S��( � CITY: /,��,�.�` Z IP: 4��� <br /> - ��,s�"i,�,r,�� ,���,-= <br /> �� ��� �?� �r7 c,a s- <br /> CONTRACTOR:� ' ,c// i� � � �C�'/�" o�;lP�`� PHONE: 'y�ol �� <br /> MAILING ADDRESS: �jj�1�� /Si��-� .��•�-, CITY: ��Ci�-z-�-� ZIP: ���� � <br /> STATE LICENSE: n ����� <br /> ARCHITECT/ENGINEER: PHONE: _-• <br /> CITY: ZIP: <br /> MAILING ADDR.ESS: -- <br /> NAMF_ REGISTR.ATION tt <br /> TYPE OF WORR- New Addition Accessory Structure tdove <br /> Demo Remodel/Alteraticn Renovate � Land Alteration <br /> � _ ��2����y <br /> PROPOSED WO� (describe in detail) - /,l�Q � � � � �" <br /> fit��,� -c'f'� _ <br /> � � � <br /> STORIES:�_ S4- FEET OF EACH FLOOR: i�O� • <br /> NO. OF BEDROOMS: G�GE STALLS: ATT. DET. <br /> v� <br /> o� <br /> �V • <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding Iand) : $ �� � <br /> I hereby apply for a building permit and I acknowledge that the informatic: <br /> above is complete and accurate; that the work will be in conformance wi�hat�•T <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a permit and work is not to start without a permit; anr. <br /> that the work will be in accordance with the approved plan. <br /> � �� �_,.�� DATE: � �� �� <br /> APPLICANT' S SIGNATQRRE: �G'� _ <br />