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• � ' CITY OF ORONO - BOILDING PERMIT APPLICATION <br /> Total Fee: $ ��D�'��/ Date Received: <br /> Date Approved: <br /> Entered By: �( t � <br /> Permit#: � '1 � <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PI,AN RFVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: �� � '�T�� � ZIP: ����o� <br /> (work) 5 ���� <br /> NA1�II: OF OWNER:�,��5 L� (_._�/�1�� ����S� `�' _ PHONE: (home) `�-7� -���� <br /> MAILING ADDRESS:S�� vV Y"��`� ��"j CITY:,/���s/�f� ZIP: � 5-��� <br /> CONTRACTOR: �C-�� PHONE: <br /> MAILING ADDR$SS: CITY: ZIP: <br /> STATS LICENSE: # <br /> r <br /> ARCHITECT/SNGINEER:/�/�� It�,�(rY���' paorrE: �7 0 - `� �Se <br /> MAILING ADDRBSS: �.5��� ��5(�� CI������ Z IP: <br /> p�yg: RBGISTRATION # <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remode /Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:�_ G�GE STALLS: ATT� DET. <br /> ESTIMATED CONSTRIICTION VAI�IIATION (eacluding Iand) : $ �j�v <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 approved plan. • <br /> APPLICANT'S SIGNATORE: �- DATE: �"'1' 1� <br />