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_ -•• , CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � c�' <br /> L v Date Received: <br /> Total Fee: $ � �l � �" — <br /> Date Approved: <br /> Entered By: permit�: <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI+ B$ STARTED <br /> (See Check-off List EncI.osed) <br /> ------------------ <br /> THE APPLICANT IS: (circl.e one) OWNER o CONTRACTOR <br /> JOB SITE ADDRSSS: OG G U d-� /lU ZIP: <br /> (work) <br /> NAME OF OWNER: � +�� � ��L. I �� PHONE: (home) _ <br /> MAII�ING ADDRESS: /d a� -� ��I79 di J/�� CITY: O/�0�0 Z IP: <br /> CONTR�CTOR: <br /> ' � //1/ �(/ psor�: S/�.�.��-�`�� <br /> IKAILING ADDRESS: � �� � ' ' CITY� IJG ✓� p'�`'}D7 7 <br /> STATE LICENSE: # C�`���`�� �— <br /> ARCHITECT/ENGINEER: /V��'/.� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTItATION � <br /> TYPE OF WORR: New Addition Accessor Structure Move <br /> Demo RemodeZ/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : <br /> STORIES: SQ. FEET OF EACS FLOOR= <br /> NO. OF BEDROOMS: GAR�fGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ <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 ap oved plan. � <br /> � DATE: <br /> APPLICANT'S SIGNATORE: <br />