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' CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> . I <br /> Total Fee: $ �� �,a �� �`� Date Received: ���" „3� � I� <br /> Date Approved: <br /> Entered By: �� / �) �' � <br /> ,, Permit#: �/ } <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------��--------------------------- <br /> THE APPLIGANT IS: (circle one) 06VNER or CONTRACTQR> <br /> JOB SITE ADDRSSS: �,'�''l' %"r(:,�% /� �i �, � ''� !:���f'- ZIP: �� � _i i�/ <br /> (work) <br /> NAI� OF OWNER: �� � ' -;r::;.,�,.,� /f�-�,�.' PHONE: (home) �-f��% - ��17 <br /> MAILING ADDRESS:��:��' ��✓c���"l�' � ���'ri� '� CITY:_ ���.�:: ; ZIP: S,5 ` ��'' <br /> , . <br /> CONTRACTOR: I"t1 �-i G� d i �i C-';�i ����r��;�t;� .,���, ; PHONE: �� 1%'' _//= �/ <br /> � _ <br /> MAILING ADDRESS: % % �'/ ! r CITY: l-;''c ZIP: ,; � ?j��— <br /> STATE I�ICENSE: '� ,�� ;_�'�J <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> pp,�: R.EGI STRATION # <br /> TYPE OF WORR: New Addition Accessory Structure riave <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> � ���%�.�� , %� ;-,�� : ,�. _,_ , �,�� <br /> PROPOSED WORR (describe in detail) : - <br /> � � � � , <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding 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 /> that the work will be in accordance with the approved plan. <br /> / <br /> APPLICANT'S SIGNATURE: '����. �' r_<.�;�� DATE: �/�'J� �Z�� <br /> -) ��G� <br />