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� j CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> �, Date Approved: <br /> Entered By: �-, Permit n: Z�� � � <br /> ALL INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Encl.osed) <br /> ------------------------------------- <br /> THE APPLIGANT IS: ( circle ane) O��1NER or CONTRACTOR <br /> JOB SITE ADDRSSS: h` � � ;<vr,� /��h' � -- ZIP: j i 3r 6 <br /> (work) <br /> N� OF OWNER: ,�i ���-c i c/ J Y��r�t S �li� PHONE: (home)�7� J>%�°_ <br /> MAILING ADDRESS: �� .�, �i� 7` �,� CITY:/.,y�, �j�/� _ ZIP: 'j ,� 3� � <br /> CONTRACTOR: � � 1 - PH�� <br /> MAILING ADDRESS: CITY: ZIP: � <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: .. <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGIS�'R�TION � _ <br /> TYPE OF WORR: New Addition Accessory Structure riove�_W__ <br /> Demo Remodel/Alteration Renovate Land Alteration� <br /> ��- <br /> PROPOSED WORR (describe in detail) : il��„�� c- �'• r � /�ic�-iy� � � ��� <br /> _ .� �, � _ �' �� �r�// /�-v c ;.. �'c�,�� o-- �-� c'�. .f <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: G�GE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding landl : $ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> abvve is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the C��-�---and with the State Building Code; tha� I <br /> understand this is not a permit and wo�c is not to start without a permit; and <br /> that the work will be in accox'dance with�he approved plan. <br />, __� DATE: // Z� <br /> APPLICANT'S SIGNATURE: � <br />