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' ' CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Tatal Fee• $�':�/.3C� � Date Received: <br /> Date Approved: <br /> � <br /> Entered By: � r_.�v Permit�:_ '''c/'�� <br /> AT•T• INFORMATION MIIST BE SIIBMITTSD IN FDLL BEFORE PI,AN REVIEW WII,L B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> --------------------------------------------- <br /> THE APPLICANT IS: (circle one) �WNER or CONTRACTOR <br /> JOB SITE ADDRBSS. . � ZIP: �j�'1 � <br /> (work) ��� "� <br /> � <br /> � � <br /> N� OF OWNER: Q �� PHONE: (home) <br /> MATLING ADDR.ESS:��' � CITY: ZIP: J�-'� � <br /> CONTRACTOR: 1 �y�f�%� PHONS: <br /> MATI.ING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> � C <br /> ARCHI TECT/ENGINEEFt: ��Q��l� �1���l.rj Y��1� PaorrE: l"�--`�'� '" . <br /> MAIZING ADDRSSS: CITY: ZIP: <br /> N�: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessa�tructure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : f � <br /> � tS�,lV� � � ��. '� � T�-r� /� <br /> �, _ �-,�� <br /> ��� �`����� , �'�7��✓'1r�:1'.�_� �.,, <br /> STORIBS:�_ SQ. FEBT OF EACH FLOOR: � Zi-'1'' <br /> NO. OF B�DROOMS:� GARAGS STALLS: ATT. DET. <br /> ✓�,�� , <br /> �STIMAZ`ED CONSTRIICTION VALIIATION (eacludin� Ia.nd) : $ �• � � <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 /> t�at the work wil 1 be in cc d c with the approved plan. <br /> APPLICANT'S SIGNATDRE• DATE: � � <br />