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. � CITY OF ORONO - BU�LDIN� PERMIT APPLICATION <br /> Total Fee• $� '�`' / � � Date Received: <br /> Date Approved: <br /> Entered By: '.G/c- <br /> Permit�: `� /`%� <br /> ALI, INFORMATION MIIST B$ SIIBMITTSD IN FDI�L BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> � <br /> , <br /> -� �. f ���� � <br /> JOB SITE ADDRSSS: �1���'�;-- / �- T`.,.' o����r_- ZIP: <br /> (work) <br /> ,/� — <br /> N�ME OF OWNER�1<_��`�" ! � ,i � �� {i��-�.--_ PHONE: (home} <br /> yl� ) �; �' r-�- --`'��; � <br /> MAILING ADDR.ESS: ���� /V ��� l// CITY:�� � -'C ZIP: J �==��1 <br /> � �l -4- `� <br /> cora�cTox: PHorr$: �-�%"�--�7t�i� <br /> �riAILING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDR$SS: CITY: ZIP: <br /> p�: RBGISTRATION u <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodei/Alteration Renovate Land Alteration <br /> �-'� � <br /> PROPOSED WORK (describe in detail) : ,\����, f_i`; I ��'� - <br /> �TORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAG$ STAI.LS: ATT. DET. <br /> _ • .-� �-; ' <br /> �.., f <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ i,-�( �� <br /> I hereby apply for a building permit `and I acknow].edge that the information <br /> above is complete and accurate; that t wor3c will be in conformance with the <br /> ordinances and codes of the City an ' th the State Building Code; that I <br /> understand this is not a permit a w rk ' s not to start without a permit; and <br /> that the work will be in accordan w'th he approved plan. • <br /> /� �J� � � <br /> ,� '•` • <br /> APPLICANT'S SIGNATDRE- - � - DATE: <br /> � <br /> i <br />