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� ` � CITY OF ORONO - BUILDING PERl�LZT APPLICATION <br /> Total Fee: $ �j�`)-C�U <br /> Date Received: ;� /-Z� /�;� <br /> Date Approved: <br /> Entered By:�"�� <br /> Permit�: �n/��,� <br /> AT•T• INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Encl <br /> -------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDRSSS: . � , ZIP: <br /> (work 7 L/75--�.SJE/ <br /> NAME OF OWNER: � <br /> �`-\ � PHONE: (horne) �7/ '�y�� <br /> MAII,ING ADDR.ESS: �� � CI C�/��-''L�'.' ZIP: <br /> CONTRACTOR: " PHONE: ��,! -��}�� <br /> MAII�ING ADDRESS:� , ���1, � CITY:•�('���� ZIP s J c- <br /> STATS LICENSE: � fJ�`� l <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATI,ING ADDRSSS: CITY: ZIP: <br /> NAME: RBGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration � Renovate Land Alteration <br /> PROPos� wo�x (aes�ribe in aetai�) : Lr�t� ,�,,����;�, � /�mrc�; C r�� C'�1C 'h���� �t `��� � ��� <br /> � � a , ,� � �� <br /> i <br /> STORIES: SQ. FEBT OF EP,CS FLOOR: <br /> NO. OF BEDROOMS: GARAG�S STALLS: ATT. DET. <br /> - ��� � ' �' �lG�� <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ <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 wi13,.._be-� accordance with the approved plan. <br /> � <br /> ` � q <br /> APPLIC.ANT'S SIGNATIIRE: � � •, DATE: � <br />