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, , CITY OF ORONO - BIIILDING PF.R�LIT APPZICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: � <br /> Permit�: <br /> ALL INFORMATION MIIST BE SIIBMITT� IN FULL BEFORE PI�AN REVIEW WII�L B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: '�-� <•((;O �.-1��t��s�a N �1v E +� l� ZIP: <br /> (work) <br /> NAML OF OWNER: T �••� �- �V�.�� "T'r'�OM�R PHONE: (home) �t ''t-�`�5 S <br /> iKAILING ADDRESS: � Cfl�.m �J �_��J� ''�'d�e-c-•�N �`.�F CITY: ���N� ZIP: <br /> CONZ�CTOR: �-+ �F�'�,%-�-�s� t���-��,,� ���-� PHONS: �'=;[_7- �p���.- <br /> MAILING ADDRBSS: �C�;��a A���+���`►c��� i�t.:f4 CITY: S3 �o�+�s �K ZIP: �S�l 1 � <br /> STATS LIGENSE: � �.� � � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�,�: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe i.n detail) : � � �•`�Sr�� �n��hl f�'�� �"`t-t c� �� _ <br /> STORISS: l SQ. FEBT OF EACH FLOOR: 1`� � <br /> NO. OF BBDROOMS: G�GE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ q �1'�� <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 /> APPLIC.�NT'S SIGNATDRE: ��'i�7 / _ ! DATE: -y�_ ��tt - <br />