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. • CITY OF ORONO - BIIILDING PERM.IT APPLICATION <br /> Total Fee: $ /���. 7 ��' Date Received: �/���/`� <br /> Date Approved: <br /> Entered By:��� — perinit�: � �,��� <br /> AT.7• INFORMATION MIIST BE SIIBMITT� IN FIILL BEFORE P7�N REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------- <br /> TSE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: / �� �l: `�� l_L�t �_�� . ZIP: ����� w <br /> (work) �� •���Z�i <br /> ----�---.- l_ <br /> NAME OF OWNER: I -�� �� � 5�ti'L— PHONE: (home) ���'j- o�II � <br /> MATI,ING ADDR.ESS: ��� LJ� � c����G�'l.0 J�� CITY: �.l'1'� ' � ��-C— ZIP: ��3�� <br /> CONTRACT(�R: ���Tc �CIYY�- PHONE: ���_-� �' D �J � <br /> MATLING ADDRESS: ��L� I � ``,}- �r� � CITY: �) ZIP: ��� I�i <br />► <br /> STATS LICENSE: � ��C�'� � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> N�: RBGISTR.ATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Reinodel/Alteration Renovate Land Al�eration <br /> PROPOSF.D WORR (describe in detail) : ��"�L� <br /> STORIES: SQ. FEBT OF EACH FZOOR% <br /> ?�O. OF B$DROOMS: GARAGE STAI.LS: ATT. DET. <br /> ' l�'� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding 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 /> tnat the work will be in ac ordance wit �the approved plan. � <br /> � ` . <br /> APPLICANT'S S:CGNATIIRE: �/�iL DATE: " / � ��'��� <br /> i���y�_ ' .. <br />