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{ ► <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ���� •�� � Date Received: <br /> � Date Approved: <br /> � <br /> � �� y <br /> Entered By: r " Permit tt: • "i 7� J <br /> pT.T. INFORMATION MUST BB SIIBMITTED IN FIILL BEFORE P7�AN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTR.ACTOR <br /> JOB SITE ADDRRSS: �`� � � �` ��� � `�. ZIP' <br /> (work) <br /> NA1�4: OF OWNER: ��/���/J�"/4r�� PHONE: (home) <br /> MAILING ADDRESS: ��'�_� /Yl !ll�, CITY: / �/'��) ZIP: <br /> � ,, J �,.� /�, 7rJt� <br /> CONTRACTOR: :/V�/��� d i/� � v� PHONE:_�i'�%� 5 / 7� _,� <br /> /� � <br />, MAII,ING ADDRESS: .��� � /6� �7�, CITY: d�, G/'7 -��_�/� ZIP:�.���� <br /> STATE I,ICENSE: # ��� <br /> ARCHITECT/ENGINEER: PHONE: _ <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> p�E; REGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��%G't�T� __ <br /> STORIES:� SQ- FEET OF EACH FLOOR s I7G�'�G� <br /> NO. OF BEDROOMS: I GARAGE STALLS: ATT. DET. <br /> a <br /> ESTIMATED CONSTRIICTION VALIIATION (exciuding 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 will be in accordance with the approved plan. <br /> F � ' DATE: ( / <br /> APPLICANT'S SIGNATIIRE: <br />