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^ , CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee• $ )� �G' Date Received: /����i � <br /> Date Approved: <br /> Entered By: ��, permittt: �'� �� _ <br /> AT•T• INFORMATION MUST BE SIIBMITTED IN FIILI� BEFORE PLAN REVIEW WI7�I. B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------ <br /> THE APPLIGANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: ZIP' <br /> (work) <br /> NAME OF OWNER- �- �.t � �\\ � � 'S PHONE: (home) <br /> n `- "' 6 �( <br /> MASZ�ING ADDRESS: �t�� � j�U .- r��Z.�� CITY: l��G �i..� �� ZIP: � � � <br /> CONTRACTOR: � �L� PHONE: �� a � �I ��I �o <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PH��' <br /> MAILING ADDRESS: CITY: ZIP: <br /> N1�ME� REGISTRATION ,ur <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : � tl C�� �-� � � G ,'� � <br /> � <br /> STORIES: SQ. FEET OF EACH FLOORs <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTZON VALIIATION (ezcluding landl : $ I �-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 ' t and work is not to start without a permit; and <br /> that the work will be in acco dance with the app roved plan. <br /> APPLICANT'S SIGNATURE: � �C.�_� DATE: <<c�� �e�. l2 <br />