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CITY OF ORONO - BUILDING PER�iIT APPI,ICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permitn: <br /> ALL Ir7gpRMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEFI WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------ --=----------- <br /> ------------------------------- <br /> THE APPLICANT IS: ( circle one) 06�TNE��or CONTRACTOR <br /> i�" � � � �-� � <br /> JOB SITE ADDRSSS: ���( �� i � � ��� .-�1) `' � 1 •-1 ZIP: �` ' <<-/ � <br /> (work) <br /> , / PHONE: (home) ` ' / i1� <br /> N�ME OF OWNER: �C� �� �1,� vt f + f l���i Y i� �!� C � r -� �� � ,f�� <br /> , <br /> �_-. <br /> MAILING ADDRESS:� ��-I %`" ' �i � � '���� �' �,,;__'� CITY: �-�C"�,_'� , �� ` ZIP: � <br /> CONTRACTOR: PH�� <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCH'I�ECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: . __. _ __�EGISZ�2.ATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration �� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :��� (' � <br /> STORIES: SQ. FEET OF EACH FI+OOR= <br /> NO. OF BEDROOMS: G�,RAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding Iand) : $ <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 wvrk will be in accordance with the approved plan. � <br /> _, ; <br /> /� , � �� � _ <br /> ! , / ;_;' - <br /> APPI,ICANT'S SIGNATIIRE:� � ,l�� `�. ' ` � � ` ' _ `� ��_ DATE: ' <br />