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CITY OF ORONO - BIIIbDI� PERMIT APPI�ICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: � Permit�: ���� 9 <br /> ALL INFORMATION MIIST BS SIIB ChTTED II�1 FOLL BEFORESeLAN REVIEW WII'r' BS STARTED <br /> --------------------------- <br /> ------------------------------------------------ <br /> THE APPLICANT IS: (circle one) 06�1'NER or CONTRACTOR <br /> JOB SITE ADDR$SS: 3y�a ���'i JI b� �11J`� _ ZIP: J�� 3c1 � <br /> (work) 3 » c� 3�a' <br /> N� OF OWNER: <br /> C`l1C.� v.�.Y SG:i ���'s pHox�: (home) y 7/-�(�5 /� <br /> MAILING ADDRESS: ��a � �i!�S�cl�'� l.C�t1e CITY: lJ`� �lO _ Z IP: ��3c7 � <br /> PHONE: <br /> CONTRACTOR: <br /> IKAILING ADDRBSS: CITY: ZIP: <br /> STATE I,ICENSE: # <br /> ARCHITECT/ENGINEER: PH��� <br /> MAILING ADDRSSS: CITY: ZIP: <br /> N�_ REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �^ .r���'� Gn��� 4 <br /> .sz��. <br /> STORIES: S4• �T �F �� ��R' <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET.� � <br /> . � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ a� <br /> I hereby apply for a building permit and 2 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 wil 1 be in accordance with the approved plan. <br /> APPLICANT'S SIGNAZ'DRLr: DATE: !-(o' �� <br />