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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> To�al Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: ' <br /> Permit�: <br /> ALL INFORMATION MIIST B$ SIIBMITTBD IN FIILL BEFORE PLPiN REVIEW WII�L B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> --------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS. , ZIP: $��'�, l <br /> (work) �q�a't� �� <br /> NAI� OF OWNER: �� PHONE: (home) <br /> � <br /> 1�iAILING ADDRESS: CITY: ZIP: J J. � <br /> CONTRACTOR:��n� PH��' <br /> �� <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> STATS LIGENSE: � <br /> (� t��" 2 <br /> ARCHITECT/ENGINEER: v�t+1wl� �1��Lj'f��L PHONE: �-�� �` � <br /> MAIZING ADDRSSS: CITY: ZIP: <br /> N�,a: RSGISTRATION � <br /> TYPE OF WORR: New Addition Accessa�tructure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : � <br /> nvv� � ' G � , � ,�.n-=� <br /> �--�-�.,\ `��i��`'� �2��v�� --� <br /> STORIES:_� S!. B!T �F EACH PZOOR: � �i <br /> NO. OF B$DROOMS:� G�GB STAI.LS: ATT. DET. <br /> �c � <br /> ESTIHATED CONSTRIICTION VALIIATION (eacluding land) : $ � J \ ��� <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 ermit d r is not to start without a permit; and <br /> that the work will be in cc d c with the approved plan. , <br /> APPLICANT'S SIGNATQRE� DATE: <br />