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CITY OF ORONO - E�►:IILD:�NG PERi�SIT APPLICATION <br /> � �L�, c�� Date Received: <br /> Total r^ee: $ % <br /> Date Approved : <br /> Enter�d By: u• � �� <br /> Permit,r• f�� <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Encl.osed) <br /> ---------------------------------------------- <br /> THE APPLICANT IS: (circl.e one ) OWNER or CONTRACTOR <br /> � � � Z I P t � �`J' �,�(� `7' <br /> JOB SITE ADDRRSS: 1 �� ' !�� �� ���� <br /> (work) ' <br /> NAME OF OWNER:��� (� r ����K� PHONE: (home)�0���/ �7 J� <br /> MAII,ING ADDRESS:���f _i,�`.clj' -� �%�(j,� CITY: ��(� 1�!l� _ ZIP: !��� (� f� <br /> � <br /> CONTRI�CTOR: lz�'����� ��- l� !%�� _ PHor�:�7� -=l 7�� <br /> MAII,ING ADDRESS:1�j'�; �l�dL�'�� �f�-j ''�� CITY: �"l�Uc��� ZIP: � �J' j�-' <br /> STATE I�ICENSE: � <br /> ARCHITECT/ENGINEER: PH��' <br /> MAII,ING ADDR.ESS: CITY: ZIP: <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure biove <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : [( ��_.�.:� <br /> STORIES:___�___ S4- F�T OF EACH FLOQR: (/(�C�� <br /> NO. OF BEDROOMS: GARAGE STAI,.LS: ATT. DET. <br /> � v <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding Iand) : $ �� �— <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 will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATORE: DATE: <br />