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, CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ _ '' Date Received: <br /> Date Approved: <br /> Entered By: (�!; permit#: � � � <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Encl.osed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS:�S�-� ��NUJbO�� �vrc• ZIP=��� � <br /> (work) rj��- �,1'�i <br /> NAME OF OWNER: 1 �V����\Vi � � ��l��V PHONE: (home)��`-��-1 <br /> MAILING ADDRESS 2�0� ��NU�O(C�� �'TVC• CITY: VV JT�CI���T' ZIP: 5�3�` <br /> CONTRACTOR: (��1NC�(�� PHONE: <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �W �vr��� PHO�= <br /> MAILING ADDRESS: CITY: ZIP: <br /> Np,My: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure� riove <br /> Demo Remodel/Alteration Renovate Land lteration <br /> PROPOSED WORR (describe in detail) : �� ��i�til c�� P� �L�C�G <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 6ARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ <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 work wil 1 be in accordance with the approved plan. � <br /> --, <br /> APPLICANT'S SIGNATORE:�/t �--�'- DATE: <br />