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CITY OF ORONO - BIIILDING PERMIT APPLICATION • <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: ' Permit#: <br /> AI�L INFORMATION MIIST BS SIIBMITTSD IN FULL BEFORE PI.AN REVIEW WIr'I' B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDRSSS: lO �Var - ZIP: <br /> (work) <br /> NAML� OF OWNER: � l.t \� P ONE: (home) rCa C <br /> 1�SAILING ADDRESS: C�� a � , CITY: �-Bl: ZIP: �-�� l � <br /> CONTRACTOR: �� l G. PHONE: <br /> MAILING ADDR$SS: \ ` CITY: ZIPz <br /> STATS LICENSE: $ <br /> ARCHITECT/E�IdGINEER: PH�NE: <br /> M�IILING ADDRSSS: CITY: ZIP: <br /> Np��: RSGISTRATIOH � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> ED WORR cribe i.n detai ) : l�1 � ` ` ��-� C'� <br /> PROPOS � <br /> �t - c��.Q.� <br /> STORI$S: SQ. FE$T OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAI.LS: ATT. DET. <br /> O'd <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding land) : $ `�d�- - <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 d work is not to start without a permit; and <br /> that the work wiI 1 be in acco an wi h the p ov p an. � <br /> �- � �-- <br /> APPI�ICANT'S SIGNATIIRL�: DATE: <br />