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CITY OF ORONO - �IJI�ING PERMIT APPI.ICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: X��� Permit tt: '` L� '�? � <br /> AT,T• INFORMATION MIIST BS SIIBMITTED IN FIILL BEFORE PI,AN 12EVIL�1 WI� B$ STARTED <br /> (See Check-off List Enclosed) ____________ <br /> ------------------------ <br /> THF APpZICANT IS: (circle one) OP7NER or CONTR.ACTOR <br /> � JOB SITE ADDRSSS: � /U�� ��1GF��i�� �'� ��'�� ZIP: <br /> (work) <br /> x� oF owrrEx- /�<.�4� 09°frfi/i''� PHor�: (home) �7 y y09� <br /> MATZ,ING ADDRESS: S�A"J� <br /> CITYs ZIP: <br /> CONTRACTOR: A/,4,✓ (��i/'1 ��� --��G _ PHONE: �,'7�-�l�� <br /> r�,,t. � L cz�: �K J'� zzP: j��y� <br /> MAILING ADDRESSs /7 — <br /> STATE LICENSE: # <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAIZING ADDRESS: <br /> CITY: ZIP: <br /> REGISTR.ATION T <br /> NAME: <br /> TYPE OF WORR: New <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : S�Q�� /''I�9/�✓ h��ls� ' �✓��Q Sl�l� <br /> l�1 <br /> STORIES: SQ. FEET OF EACH FLOOR= <br /> NO. OF BEDROOMS: C,�RAGE STALLS- ATT. DET. <br /> ESTIMATED CONSTRIICTSON VALIIATION (excluding Iand) s $ ���0• �d <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 W1thathI <br /> ordinances and codes of the City and with the State Buil.ding Code; <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 app roved plan. � <br /> � DATE: GI`�� � <br /> APPI,ICANT'S SIGNATffRE: <br />