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� <br /> r <br /> CITY OF ORONO - BUII�DING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: 1 <br /> Entered By: Permit�: <br /> AI,I� INFORMATION MIIST B$ SDBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) � <br /> ---------------------------------------------------- <br /> � THE APpLICANT IS: (circle one) OWNER or CONTRACTOR <br /> � JOB SITE ADDR$SS: � �� �% S/��- ��. ZIP: <br /> (work) <br /> NAI�: OF OWNER: /72n/�� ,1:� I!���` PHONE: (h ome) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �A��� (,.0.�'ST ���, I� + PHONE: �3�- ���---- <br /> '�� ��i ci�: �.�-s; z2P: Sj3� <br /> MAII�ING ADDRESS: �� � I�X �3 Z L_.- � <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /�,�jC,�'- � � PHONE: <br /> MAILING ADDRSSS: CITY: ZIP: <br /> p��: REGISTRATION # <br /> TYPE OF WORR: New Addition Accessory Structure Move � <br /> Demo Remodel/Alteration Renovate Land Alteration � <br /> PROPOSED WORR (describe in detail) : ���p�% .�'�' '�� ��T � ��"";`�' <br /> STORIES: SQ. FEET OF EACH FLOORa <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding 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 wil 1 be in accordance with the approved plan. � <br /> APPLICANT'S SI TURE: DATE: �O'Z7�Z'"- <br /> r . <br />