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� <br /> CITY OF ORONO - BIIII.DIrkG PERMIT APPLICATION <br /> `' � �' =- Date Received: � <br /> Total Fee: $ � ���� � � � <br /> Date Approved: <br /> Entered By: � ���� <br /> � Permit#: ,�G���� �1 <br /> AT•T• INFORI�dATION MDST B$ SUBMITTED IN FIILL BEFORE PLAN REVIEW WILL Bg STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------- ----�-_ ------------------------- <br /> THE APPLICANT IS: (circle one) O��lNER o ONTRACT � <br /> JOB SITE ADDRSSS: -� �i'� t���11z.1 � u �� �.ti�, =` ��'�r,�� ��ZIP: �i��`� � <br /> (work) <br /> NAME OF OWNER: �C�� � � �" �D�- �G�''�� PHONE: (home) <br /> MAILING ADDRESS- �--I � ��E�rt�t � c� "J Cx...��CITY: (� f�J b� �i:: ZIP: ��� �' � <br /> �o <br /> � � <br /> �+ i O�(�->-�� <br /> CONZ'R1�CTOR: ���'�-'� � -� f' PHONE: <br /> MAILZNG ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> N�g: REGISTRI�TION # <br /> TYPE OF WORR: New Addition Accessory Structure Hiove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : <br /> STORIES: I SQ. FEET OF EACH FLOOR: � � %/ <br /> NO. OF BEDROOMS: v�- G�IRAGE STALLS: ATT. DET. � ) <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the informatioa� <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 accordance with the approved plan. � <br /> , <� <br /> APPLZCANT'S SIGNATIIRE: - � � �, (. ;_ � DATE: I� ' • / <br /> i. <br /> i <br /> � _ . . . . <br /> . _ _ __ _. _ _ . . V <br />