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r + CITY OF ORONO - BIIILDING PERMIT APPZICATION <br /> Tota? Fee: $ /o� 7� • a-� Date Received: G, �30 ,L�'iJ`� <br /> Date Approved: <br /> Entered By: � 1..,�� - permit�: /�� / <br /> ALI, INFORMATION MIIST BE SIIBMITT� IN FIII+L BEF�RE p�N �vl� �I`T' B$ STARTE� <br /> (See Check-off List Enclosed3 <br /> ----------------------- <br /> TgE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: O� ZIP: <br /> (work) � <br /> NAI�: OF OWNER: L� PHONE: (home)_�0 � <br /> MAII,ING ADDRESS: CITY: '�I�/V`�J'� ZIP: <br /> CONZ'RAC7.'OR: OW/ � ' PHONS: �� / -�� � 6 <br /> MAII,ING ADDRBSS: (p�P� �. �i 1 �� �TY: ZIP: �j ! 9 <br /> STATS LICENSE: � , ��� � <br /> ARCHITECT/ENGINEER:�� _ PHONE: <br /> MAIZING ADDRSSS: CITY: ZIP: <br /> N�fME: RSGISTR�TIOA � <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> OPOSED WORR (describe in detail) : ��"�.�� a �-��� - <br /> PR <br /> STORI$S: SQ. FEBT OF EACH FLOOR: �l � <br /> ��� <br /> NO. OF B�ROOMS: /� GARl►GS STAI.LS: ATT. DET.__ <br /> ESTIMATED CONSTRIICTION VALT1�iiTI�N (eaCludin� land) : $ <br /> � G � ` <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 wiI 1 be in accordance with the approved plan. � <br /> � IVa�Al�Jiv�:+: DATE: � r G� V � • � <br /> APpI�ICANT S S <br />