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` . <br /> � CITY OF ORONO - BDILDING PERMIT APPLICATION <br /> T�tal Fee: $ / �j�, (o b Date Received: <br /> Date Approved: <br /> Entered By: ' ,l'�/ <br /> Permit�: ��s(p <br /> ALL INFORMATION MIIST BE SIIBMIZ'TSD IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: �-�Y?r /v• ` ���Ii'e ZIP: -��3q/ <br /> (work) �3~�� <br /> �✓,� �}+- <br /> NAl►� OF OWNER• �t'� � PHONE: (home) �� �L�'�� <br /> IKAILING ADDRESS: Z��� CITY: y0 ZIP: ��J J�� <br /> CONTRACTOR: ��'1n�--� N 5 N �Z�"`— PHON$: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: $ <br /> A.RCHITECT/SNGINEER: �Q"�-� PHONE: <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> NAML: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> � l� b� � <br /> � � � <br /> PROPOSED WORR (descrzbe in detai.l) : � //" � � � <br /> � 2 ��h� <br /> STORISS: SQ. FEBT OF EACS FLOOR: <br /> NO. OF B$DROOMS: G�RAG$ STAIZS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VAI�IIATION (eaclnding land) : $ l,(���!,�/� ' <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 w is not to start without a permit; and <br /> that the work wil I be i accordanc w'th he approved plan. ' • <br /> APPZICANT'S SIGNATDRE: DATE: <br /> . � <br /> . � <br />