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A � • CITY OF ORONO - BDIZDING PERrLZT APPLICATION <br /> ��� � ' ��� Date Received: <br /> Total Fee: $ , <br /> i <br /> Date Approved: <br /> Entered By: � ;�!V� . . <br /> Permit�: , �L// <br /> ALL INFORMATION MIIST BE SIIBMITTSD IN FIILI� BEFORE PIaAN REVIEW WI7�I, B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or ONTRACTO <br /> JOB SITE ADDRSSS: �J`� � � u�� I ZIP: ��� � � <br /> (work) <br /> 27�ME OF OWNER- �-�� �v �` �5�1�'1'�- PHONE: (home) L� 7 f ����d <br /> MAIZING ADDRESS: �� � �,. . � � I CITY: �rGti�- ZIP: S�3�I / <br /> CONTRACTOR: ��..� cv►�.-�e �v- C�1 PHON$: l �� `�� S—� L <br /> .�AII�ING ADDRESS: � L�l°' �`�t�Ct1� ���1� CITY: � ZIP: 5�7c��-� <br /> �/ pr <br /> STATS LICENSE: $ f� X <br /> ��RCHITECT/ENGINEER: �-� PHONE: �� � I � � S� Z.— <br /> MATLING ADDRBSS: CITY: ZIP: <br /> g�: RBGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�/ Renovate Land Alteration <br /> PROPOSF,D WORR (describe in detail) : �.�•-�.r /��\`�"-��� <br /> STORIES: �� SQ. FEBT OF EACH FI,OOR: <br /> NO. OF BSDROOMS: GARAGB ST�LS: ATT. DET. <br /> � � <br />?STIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �i �G� <br /> I hereby apply for a building permit and I acknowledge that the information <br />�bove is complete and accurate; that the work will be in conformance with the <br /> ,rdinances and codes of the City and with the State Building Code; that I <br />��nderstand this is not a permit and work is not to start without a permit; and <br />`:�at the work will be in accor nce with the approved plan. .� <br /> . ��� <br /> APPLICANT S SIGNATURE: DATE: <br /> I <br />