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� CITY OF ORONO - BIIIZDING PERMIT APPLICATION <br /> Total Fee• $ �C�•�� - Date Received: _��3i �i� <br /> Date Approved: <br /> Entered By:�/' � Permit�: (�J�� <br /> AT•T• INFORMATION MIIST BS SIIBMITT� IN FIILL BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPI,ICANT IS: (circle one) OWNER or CONTRACTOR <br /> �' ' _ � _- Y�('J �- ,C� ��`�- ZIP: <br /> JOB SITE ADDRSSS: ' <br /> (work) <br /> � <br /> NAME OF OWNER: ;'��!'�� Y � � �` �` --- PHONE: (home) <br /> � , <br /> MATLING ADDR.ESS: �C ��� '- %���� ` �l" CITY: C�/f� '',' ��� Z�P: <br /> CONTRACTOR: �� >��v^�"`"'�:" , -y'-'' �' PHONE: �c��"� � �) <br /> i�3AII�ING ADDRBSS: / �� ��C�,C� �,1.��-� /"'�'��- _ CITY:����! ��'j ZIP: �� ��_�' I <br /> �<� {� <br /> STATS LICENSE: � `� r J �-- <br /> �h�/ �. ��,�,. PHONE: <br /> ARCHITECT/ENGINEER: ;; � - <br /> MATI,ING ADDRSSS: CITY: ZIP: <br /> NAME: RBGISTRI�TION � <br /> TYPE OF WORR: New Addition Accessory Structure '�� Move <br /> Demo .,� Remodel/Alteration Renovate Land Alteration <br /> /' � �.� -. " ;,,� -r ;_. ) <br /> PROPOSED WORR (describe in detail) : /=��-�'`� `� - � <br /> STORI$S: SQ. FE$T OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGE STALI,S: ATT. DET. <br /> �. � <br /> ESTIMATED CONSTRIICTSON VALIIATION (eacluding Iand) : $ � � ��L� � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work wil7. 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 /> � <br /> � <br /> _ , � s" <br /> A.PPZICANT'S SIGNATQRE: �, __ DATE: � ` � <br /> � , <br />