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� ` CITY OF ORONO - BIIILDING PERi�IIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit�: <br /> AT•T• INFORMATION MIIST B$ SIIBMITTED IN FUI�L BEFORE pI,�N REVIEW WII'I' B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------------------------- <br /> THE APpLICANT IS: (circle one) OP7NER or CONTRACTOR <br /> a . <br /> JOB SITE ADDR$SS: � s SC� �����d�✓ ZIP. ��3 <br /> (work) <br /> N�ME OF owrl�x:�i�l+�C�S �/Vi fSD�'1J l.�.S�� pso�: chome) �7�:3g'4� <br /> MAIZ�ING ADDRESS: �b(!/ H"��1G� CITY: �'//�U�1� ZIP: <br /> CONTRI�CTOR: ��Q� W I I SO�U PHONE: �7� �15 7`T <br /> MATZING ADDRESS: �1.�� h����rlU/'11�1� _ ci�: �I�/G�f�'�6 zip: S.S G <br /> STATE LICENSE: # ��� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDR$SS: CITY: ZIP: <br /> NAME: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> Demo Remodel/Alteration Renovate� Land Al.teration <br /> ibe in detail) : � ' � 'sf�� <br /> PROPOSED WORR (descr <br /> �r�fn - <br /> STORIES: SQ. FE$T OF EACH FLO�R: <br /> NO. OF BSDROOMS: GAR�fGE STALLS: ATT. DET. <br /> r /� O('7 <br /> ESTIMATED CONSTRIICTION VALIIATION (eacludi.ng land) : $ �5 f���-'/��� <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 /> APPLICANT'S SIGNATURE: V�/ �''�'�f7�'L- DATE: g �-�� <br />