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• � � � ' CITY OF ORONO - BIIILDING PER�iZT A.PPLICATION <br /> Tota�l Fee: $��.�s Date Received: <br /> Date Approved• <br /> Entered By:�'/►� permit�: .�/� � <br /> r'�I, INFORMATION MIIST B$ SIIBMITT� IN FIIIaL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER r CONTRACTOR <br /> JOB SITE ADDRBSS: ��cJ�� �-�rlC� �-tl:� ZIP: �� � / 1 <br /> (work) ���A`'�-3 <br /> (� /� �7 /- `7 'P�� <br /> N� OF OWNER� �Gc-1'l-�� t�. I�C�S� PHONE: (home) �-7/' �!D�5 <br /> �[ATI,ING ADDRESS: d�j�c:� �� f.�-�YlG �(.' CITY: ��, �'� ZIP: ����,�✓ <br /> r <br /> CONTRACTOR: PHONE: <br /> tiiAILING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINffi�: PHONE: <br /> MAILING ADDR.$SS: CITY: ZIP: <br /> N��: RSGISTRATION n <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> . J/ , <br /> PROPoSED WORR (describe in detail) : , -' <br /> �.� , - <br /> � <br /> , , <br /> �) C'�eC�..��C:-C1�j.. <br /> STORIES: SQ. FE$T OF EACH FI,OOR: <br /> NO. OF BEDROOMS: GARAG$ ST�LLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eaclnding 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 wil 1 be in accordance with the approved plan. . <br /> APPI�ICANT'S SIGNATUftB` DATE: � / � �� <br /> � <br />