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. <br /> r. * ,^ - <br /> • CZTY OF ORONO - BIIILDING PERMIT APPLIG�TION <br /> Date Received: <br /> Total Fee: $ <br /> Date Approved : <br /> Entered By: permit�: <br /> AT.T, INFORMATION MIIST BR SIIBMITTED IN FIILL BEFORESeI�N REVIEW �Z'I' BE STARTED <br /> {See Check of� List ________________ <br /> --------------- <br /> TgE AppI,ICANT IS: ( circle one) 0��7NER or CONTRACTOR - ��� <br /> � ' zzr_ <br /> JOB SITE ADDRSSS s I �C�� �►m�}�O � - <br /> (work) <br /> � N PHONE: (home) ��a^o (�. <br /> N� OF OWNERs <br /> �'"I�O �, CITY: ZIP: <br /> MATLING ADDRESS: U <br /> PHONE: <br /> CONTRACTOR: <br /> CITY: ZIP: <br /> MAII�ING ADDRESS: <br /> STATE LICLNSE: � <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP: <br /> MASLING ADDRESS: <br /> REGISTR.ATZON z <br /> NAME: <br /> Accessory Structure Move <br /> TYPE OF WORR: New Addition Land Alteration <br /> Remodel/Alteration Renovate�_ <br /> Demo �� ` ' <br /> PROPOSED W�RK �describe in detail) = ' <br /> t SQ. FEET OF EACH FLdOR: ��� <br /> STORIES: ' <br /> NO_ OF BEDROOMS s G�GE STAI�I�S: ATT. DET.� <br /> (� �� �l <br /> ESTIMATED CONSTRIICTZON VALIIATION (excludi.ng lanal = $ "'�� <br /> I hereby apply for a building permit and I acknowledge that the informatic= <br /> above is complete and accurate; that the work will be in conformance wi��ha�hE <br /> vrdinances and codes of the City and with the State Building Coermit; anc <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the approved plan. <br /> DATEs � � <br /> • APPLICANT'S SIGNATIIRE: <br /> � + "!� . _ _ . . _ . . <br /> I <br /> � � ���. � 'I �; ._ I <br />