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a � CITY OF ORONO - BUILDING PER'+�IT APPLICATION <br /> fiotal Fee: $ �� '"�� Date Received: <br /> Date Approved: <br /> Entered By: � /-� <br /> P e rm i t r: ��'-�') �-- <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------------------- --- <br /> �.I`HE APPLICANT IS: (circle one) O�VNER or TRACTOR <br /> JOB SITE ADDRBSS:��I � ����� ��A��C" ZIP: ����� <br /> � <br /> (work) <br /> NAME OF OWNER: ��C� � � �'"/-���'/G�'`- PHONE: (home) - �� <br /> 24AILING ADDR.ESS: "` G�' �' o CITY: /' •..�f{� ZIP: ��r��'y�/ <br /> C:ONTRACTOR: �';?' ��/U�S G-?,Gtt"7J �/,�G� PHaNE: �j�' �J�O <br /> —T , <br /> �.lAII�ING ADDRESS:/E�v"�U � �d �0�;G c� � -�CITY: ���/1 G<-��-1 ZIP: -��'"'C� <br /> ��TATE LICENSE: � �J �� <br /> PRCHITECT/ENGINEER: PH��' <br /> IMAII.ING ADDRSSS: CITY: ZIP: <br /> N�I,qE: REGISTRATION tt <br /> TYPE OF WORR: New Addition Accessory Structure biove <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> � � � <br /> P_ROPOSED WORR (describe in detail) : � '- �� ��J .r G � ^� ` <br /> � <br /> S`.CORIES: SQ. FEST OF EACH FLO�R: <br /> NU. OF BEDROOMS: GARAGE STALI�S: ATT. DET. <br /> UJ <br /> E�TIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ �c��(.� • � <br /> I hereby appl.y 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 /> oz•dinances 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 /> � � , <br /> AYPLICANT'S SIGNATURE: � _. DATE: � � �� <br />