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� <br /> .` � <br /> CITY OF ORONO - BUILDING PER�'LiIT APpLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: �r`�� C `� <br /> Fermit�: <br /> ALI� INFORMATION MIIST BE SIIBMITTED IN FIILI� BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------------------------- - <br /> THE P.PPLICANT IS: (circle ane) O��TNER or CONTRACTOR <br /> JOB SITE ADDRBSS: 3yQ3 �r�sr�L �z1�'� ZIP: c��J / � <br /> (work) � -���/ <br /> NAME OF OWNER:�OQC� �1 ' �,t��C PHONE: (home) ���'7c�f / <br /> MAILING �Dx�ss:3�f3 �'2l�ST/�L ��I�E" cl�: �I� 2�T� zzP: ��3y� <br /> CONTRACTOR: PH��' <br /> MAILING ADDR.ESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDR.ESS: CITY: ZIP: <br /> p�E: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure blove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �U T �� N C� ��d� <br /> �t�'�Cx �C� T - S��/,���r'�"�s - <br /> STORIES: ( SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ,/ O b� <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ '7� <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 /> . ` 'Z_-- <br /> �. r � <br /> APPLICANT'S SIGNATURE: � DATE: /d � <br />