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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> rotal Fee: $ Date Received: <br />� Date Approved: <br /> Entered By: ' <br /> Permit�: <br /> AT•T• INFORMATION MIIST B$ SIIBMITTSD IN FULI� BEFORE PI,AN REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> ------------------------------------ ------------------------------------------ <br /> TSE APPLICANT IS: (circle one) dWNER r CONTRACTOR <br /> JOB SITE ADDRBSS: J � �.P ZIP: ��3S�p <br /> (work) <br /> N� OF OWNER s � � 1�� ��2 �i'��C�-SC�.� PHONE: (home) �'�3" �{ �.SS <br /> MAILING ADDR.ESS: � J I Lv Z,.��p a� �\v d CITY:�c,�� ZIP: 5s 3 S�P <br /> CONTRACTOR: \4\Yl L.T'I � � PHONE: ��`� - �I�SS <br /> MAILING ADDRBSS: � S � � �t�q`�C.0 �_ CIZ'Y:�jr ZIP:, SS���n <br /> STATS LICENSE: � �cln e <br /> ARCHITECT/ENGINEER:�J 1 `(� �t,�l� � PHONE: <br /> MATLiNG ADDR$SS: SF1 r1e o�.S a v-e CITY: ZIP: <br /> NAME: RSGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Structure� Mone <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :��` G q � �e C <br /> STORI$S:_� SQ. FEST OF EACS FLOOR: � � � I �' <br /> NO. OF B�ROOMS: GARl�GS ST�S: ATT. DET. <br /> • o � <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclndi.ng land) : $ �� <br /> I hereby appl.y for a building permit and I acknowl.edge 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 SIGNATURE: � � DATE: � — ( ' I-.� <br />