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�� <br /> CITY OF ORONO - BIIILDING PER�LIT APPLICATION <br /> Total Fee: $ .� � �• �T�-� Date Received- <br /> . Date Approved: <br /> ,�' <br /> Entered By: ' ,��:; � <br /> —'' Permit�: `{�J� 7 <br /> AT•T• INFORMATION MIIST B$ SIIBMITTSD IN FIIL.L BEFORE PLAN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE A.PPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> , � <br /> JOB SITE ADDRSSS: c���� i'��`���'°'-� L�� �J�� ZIP: ���� <br /> � (work) � <br /> N� OF OWNER: ���'���1/' -�''-�` PHONE: (home����� <br /> I�+t�II,ING ADDRESS: � J �CITY: ZIP:���� <br /> CONTRACTOR: L��% ��� l ���� PHONB: ���Ol�d <br /> MATI.ING ADDRESS: ������p2 CITY: ZIP:JrS <br /> STATS LICEIJSE: � �1i� i�4%�c�� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRSSS: CIZR: ZIP: <br /> NAI�: RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> F � �� <br /> PROPOSED WORK (describe in detail) : �� ��-� ✓ •, <br /> STORI$S: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAG$ STAI,LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacludi.ng land) : $ ���='�� � <br /> I hereby apply for a buil.ding 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 a�o dance wi h the approved plan. . - . <br /> / / <br /> APPLICANT'S SIGNATQRE DATE: `�� � <br />