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CITY OF ORONO - BIIIZDING PERlLZT APPLICATION <br /> Total Fee• $ f� ' � - Date Received: <br /> Date Approved: <br /> Entered By: ' r" ,�� <br /> Permit�: i/� '/ <br /> ..�LL INFORMATION MIIST B$ SUBMITTSD IN FDLL BEFORE PZ.AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------------------ <br /> �E APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: ���� � "Q�ar�l. �` • ZIP: ,5���„� <br /> (work) <br /> N�ML O� �WNER: <br /> �l�je�"]� � (/l ��-I PHONE: (home) <br /> MA.ILING x�DxEss:��lc� N`�tUa�`re C.� • cz�: �Y�NO zzp:�3� <br /> CONTRACTOR: ���'G PHONE: <br /> �SAILING ADDRESS: �/"I� CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: �/`�D� �- PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> N�: RBGISTRATION A <br /> TYPE OF WORR: New Addition Accessory Structure �---- Move <br /> Demo Remodel./Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ` � ��J t �`� "-"� - <br /> STORISS: SQ. FEST OF EACH FLOOR: <br /> NO. OF BSDROOMS: GARAGE ST�LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding land) : $ / v v • <br /> T 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 rk is not to start without a permit; and <br /> that the work will be in accordanc 't th ov d plan. . <br /> ,'� � --� <br /> APPLICANT'S SIGNATIIRE: DATE: <br />