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` . • CITY OF ORONO - BUILDING PERMZT APPLICATION <br /> Total Fee: $ �>.�� `/ 5 Date Received: <br /> Date Approved: <br /> Entered By: � '/..- <br /> Permittt: � <br /> AL.L INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> 2'HE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: � Z� � �KE.-> j!� ��Z= ZIP: ������ <br /> (work) ��1� 3t:�;C� <br /> � N� oF owx�x: �c�y � �-i�7�L+� �: ►�,� PaorrE: (home) �]� -Z�-7�- <br /> �3AILING ADDRESS: �"�ZL �F�K� �1� �''��� CITY: L`;(�;4 ��K� ZIP: ��3.`> � <br /> CONTRI�CTOR: O(,t„) n,'E� PHONE: <br /> . <br /> �iAILING ADDRBSS: CITY: ZIP: <br /> STATS I,ICENSE: � <br /> ARCHITECT/ENGINEEFZ: � � ti E tZ PHONE: <br /> MAILING ADDR.$SS: CITY: ZIP: <br /> N�: REGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure� Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � Z t �( l Zr LL:'�.c:� �,��: <br /> STORIBS: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGE STAI.LS: ATT. DET. <br /> . `�✓4Y � <br /> ESTIMATED CONSTRIICTION VALIIATION (eaciuding la.nd) : $ 1 �'�. �� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work wil. l be in conformance with the <br /> ordinances and codes of the City and with the State Buildinq Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNAZ'URE: '�� � - DAZrE: � �jG v�� <br />