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� <br /> CITY OF ORONO - BIIILDING PP.RI�iIT APPLICATION <br /> . , .} ' C' <br /> Total Fee• $ " �� �`'� Date P.eceived: � ' 7 1 3 <br /> Date P.��roved: <br /> E�tered By: �'��' -� � � . <br /> `✓ Pe�it� , <br /> AT'7• INFORMATION MIIST B$ SIIBMITT$D IN FIIIS� BEFORE PLAN REVIEW WILI, Bg STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------- - ------------------ <br /> ----------------------- - <br /> - ------ <br /> �3E AppI,ICANT IS: (circle one) O or NTRA� <br /> , �� <br /> JOB SITE ADDR.BSS: � �� r7 � �(��X ZIP: <br /> (work) <br /> NAME OF OWNER: <br /> � �r� � ��U l.-� � PHONE: (home)��.z ?� <br /> :SA.ZLING ADDR.ESS:���, � �.��:�11��' �►1 CSTY: � � 'L �1. ZIP: �.5�-�1--},�r, <br /> CONTRACTOR: ����� — ��L`Z �:� PHONE: <br /> �dAILING ADDRESS: -- CITY: ZIP: <br /> STATS LZCENSE: � <br /> � � ,T` ���1: � � OO% <br /> ARCHSTECT/ENGINEER: ; r : � � C ' ;�if_"�PHONE: - � <br /> :KAIZING ADDRESS: (��.i G �` �ITY: ZIP: <br /> ;��� � _ RBGISTRATION a <br /> TYPE OF WORRs New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> � ' �, ���—►-�� �s <br /> PROPOSF.D WORR (describe in detail) : �► 1n 1� �"`� <br /> � <br /> � ��� �� �'I � ; �---� <br /> . , � <br /> TORSES: SQ. FEBT OF EACH ��R: <br /> :30. OF BBDROOMS: ' GARAGE STAI�LS: ATT. DET. <br /> - �- �;c�� .�� ' <br /> ESTIHATED CONSTRIICTION VALIIATION (eacluding land) : $ � �� <br /> ; hereby apply for a building permit and I acknowledge that the information <br /> :bove is complete and accurate; that t ork will be in conformance with the <br /> �rdinances and codes of the City a wit the State BuiZding Code; that I <br /> :nderstand this is not pe it and w rk i not to start without a permit; and <br /> ;hat the work wil l be n ac ordance w'th e approved plan. . <br /> ;� �� � <br /> �_.-���� � DATE: � i <br /> �..PPI,ICANT'S SIGNATIIRE: <br />