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' � • CITY OF ORONO - BUIZDING P�T �PLICATION <br /> . � <br /> �a �� Date Received: <br /> Total Fee: S a <br /> Date Approved: <br /> Entered BY= � =�a'� Permit u: 73 y� <br /> AT•T• INFORMATION MIIST B$ SIIBMITTSD IN FUZ'I' BEFORE PL1�N REVIEW WI� BS STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------- - <br /> � AppI,I�7� Ig: (circle one) OWNER or CONTRACTOR � <br /> • /V �/� /' `� ZIP: `� � <br /> JOB SITE ADDRSSS: <br /> (wo rk)y�9 �/.S� <br /> � PHONE: (home) l/ � <br /> N� OF OWNF•R: � <br /> I�iAZLING ADDRESS: ���`� /l�vl/^7 /� r/�� � CITY: �'� ��� ZIP: <br /> PHONS:�7 ���h.'/ <br /> CONTRACT�Rt <br /> MATI�ING ADDRESS: / <br /> CITY: ZIP:��� <br /> STATS LIGENSE: � /�U� / <br /> PHONE: <br /> AFtCHITECT/ENGINEER: <br /> MAILING ADDR$SS: <br /> CITY: ZIP: <br /> RSGISZ'R�TIOH � <br /> N�: <br /> TYPE OF WORR: New <br /> Addition Accessory Structure Move <br /> D�o Remodel/Alteration Renovate Land Alteration <br /> . � <br /> PROPOSED WORR (describe in detail) : . <br /> STORIES: SQ- FE�T OF EACH FLOOR: <br /> NO. OF B$DROOMS s GA�2AGE STAI�+S: ATT. DET. <br /> EST <br /> IMATED CONSTRIICTION VALIIATION (eacluding land) - $ � ��✓ <br /> T hereby app]-y for a building permit and I ackaowledge that the informatic <br /> above is complete ans ofc the City aandhw th the 1State1Build ng C de;�1thath <br /> ordinances and code ermit; an <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the approved plan. . � <br /> � � y DATE- ���� <br /> APPLICANT'S SIGNATORE= — <br />