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� ` , <br /> � <br /> CITY OF ORONO - BIIILDING PE�LZT APPLICATION <br /> Total Fee• $ %��,� . `�> _ � Date Received: � -/L - ��� <br /> Date Approved: <br /> Entered By: �J' �L Permit�: ��� '� <br /> AT•T• INFORMATION MIIST BE SUBMITTSD IN FIILL BEFORE PI�N REVIEW WILL B$ STAR�ED <br /> (See Check-off List Enclosed <br /> ------------------------------------------ ---------�r------------------------- <br /> THE APPLICANT IS: (circle one) WNER o CONTRACT <br /> J�B SITE ADDRSSS: ' � I� � I��_ ZIP: �S-3 � I <br /> (work) <br /> r <br /> N�ME OF OWNER: lL � PHONE: (home) <br /> ASAILING ADDRESS: ,, - CITY: � � (�� ZIP: �S � � � <br /> CONTRACTOR: -�i <br /> - PHo �� - 3 ���, <br /> MAILING ADDR$SS:3�� � � CITY: �- G ZIP: �j S`I Zlr� <br /> STATS LICFNSE: ���1 <br /> ARCHITECT/ENGINEER: ./ PHONE: <br /> P+�AILING ADDRSSS: '` CITY: ZIP: <br /> ;p,�g: RBGISTRATION tt <br /> '�YPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> ^ .� .- <br /> PROPOSF.D, WORR (describe in detail)�- � ^l� ' <br /> � <br /> h � � <br /> STORIES: SQ. FEBT OF EACH FLOOR: __ <br /> 3�7�. OF B$DROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ ,�� � <br /> I hereby app].y 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 the1approved plan. • <br /> . A � DATE: � !� <br /> APPLICANT S SIGNATIIRE: <br /> � c � _ <br /> � <br />