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� � � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> � S� � � � Date Received: <br /> Total Fee: $ � <br /> Date A�oroved: � <br /> Entered By: � `` — ��/� � � - - <br /> Permit Q: <br /> g�L IgpOgI�iATION MIIST B$ SiTBMIT�ED II`7 FIILZ BEFORE PI.AN REVIEW WII�L B$ SgBRTY.n <br /> (Ses Check-off List Enclosed) <br /> Tgg p,ppI,2CANT I5: (circle one) O��7NER o CONTR.ACTOR <br /> c �� Ual' ZIP: ��� <br /> JOB SIT� ADDRSSS: � /'-�,�'�7�- <br /> � (work) �� <br /> � //' �r 8�� <br /> �.7 !�(�/ PHONE: (home) <br />:i� OF <br /> o�: �l �� . <br /> I"iAILING ADDRESS: ��� <br /> CITY: � ZIP: <br /> ��L�� - PHONE: <br /> CON�CTOR: <br /> MAII.IN,G ADDRESS: <br /> �,�ME CITY: ZIP: _ <br /> STAZ'E I.ICENSE: � <br /> PHONE: <br /> ARCHSTECT/ENGINF.F,R: <br /> ��: ZIP: <br /> MAILING ADDRESS: <br /> REGISTRATION a <br /> N�: <br /> Additian Accessory Structure Move � <br /> TYPE OF WORK: New Renovate Land Alteration__ f <br /> Demo Re.*nodel/Alteration I <br /> �t� �o��' �- ' �/� G���`l �S �' <br /> i 7�? � <br /> OPOSF•D WORK describe i.n detail) : �� � <br /> r � � / <br /> � ` -- 1�f I ( �e� �,�c�� �,� o <br /> -�--i�1 s . w�ea Q�Gt�`q <br /> "� t <br /> STORIES: SQ. FF•BT OF EACH FLOOR: <br /> NO. OF BEDROOMS: <br /> GpiRAGE ST�LS: ATT. DET. <br /> �o <br /> ESTIMI�TED CONSTRIICTION VALIIATION (eacinding land) : $ ���C� <br /> 1. for a building permit and I acknowledge that the iaformation <br /> I hereby app y <br /> abvve is complete and accurate; that the work will be in conformance w th t i <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a permit aa work is not to start without a permit; and <br /> that the work wiI 1 be in accord 't th roved plan. _ ' <br /> 1 DATE: <br /> .� � � <br /> APPLICANT'S SIGNATUItL�: <br />