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` CITY OF ORONO � BUIyDING PFRM.IT A.PPLICATION <br /> Total Fee: $ h��` ��� Date Received: ��7 � / � <br /> Date Approved: <br /> Entered BY: � �;�.�-� �.1 ��� �, <br /> ' Permit�: / � <br /> AT.T• INFORMATION MIIST B$ SIIBMITTSD IN FULL BEFORE PI�N REVIEW WILI� B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS s (CG �= �7" �'E' `L� ZIP: � � � � � <br /> � <br /> (work) <br /> N� OF OWNER: ��c � � �'' PHONE: (home) <br /> MATLING ADDRESS:��� �7 / C/�!Y^ � ' - �� CITY: ��� �t'T(` ZIP: `j 5 � � � <br /> /� r <br /> r } �-/- <br /> CONTRACTOR: � v <<-U 1 � S �E' PHONS:�-� Z - �) ' � U n t <br /> MAILING ADDRESS: Ss `/� Z2Z�� �� �Ez� CITY: �'•/�'�f����Cn l�. �/I iY ZIP: S S r' � ,° <br /> � <br /> STATS LICENSE: � � <br /> ARCHITECT/ENGINEFR: PH�NE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> g�: RBGISTRATION � <br /> TYPE OF WORK: New \�� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> 1 � <br /> PROPoSED WORK (describe in detail) : �-"� ��. - <br /> STORIES: � SQ. FEST OF EACH FI,OOR: <br /> NO. OF B$DROOMS: GARAGB ST�LS: ATT. DET. <br /> . ��c, ' <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ l J� �7 � � � <br /> _T 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 /> �PPLICANT'S SIGNATIIRE: - , DATE: � � �� J� <br />