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' ' CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> • Total Fee• $ ,� �(� • � � Date Received:�/�/j s� <br /> Date ��proved : <br /> Entered By: � a. �l� � <br /> Permit,r. <br /> AT•T• INFORMATION MIIST BE SDBMIZT� IN FIILL BEFORE PI,AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------- <br /> fiHE APPLICANT IS: (circle one) OWNER o CONTRACTOR a <br /> JOB SSTE ADDRRSS: T LS�/r�c; � c:- y�f:� ��1 Cp�`-' ZIP: <br /> (work) <br /> NAML OF OWNER: �� (1'� J �'��s PHONE: (home) �_7���- <br /> MATLING ADDRESS: �d�f�7r � s .�f?Jr��rd� CIZ'�'= ZIP: _ <br /> /� � <br /> COAdTRACTOR:l t� ,�,����1����i PHONE: ������ , <br /> ��— <br /> ZdASLING ADDRESS: c�'l C .Sb �4llf iU' CITY: �"�d"i��i[_ ZIP: s.�,.t���-� <br /> STATB LICENSE: � ��C�� l I � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATLING ADDRSSS: CITY: ZIP: <br /> N�: R.BGISTRATION u <br /> TYPE OF WORR: New� Addition Accessory Struczure Move <br /> Demo Re.moae /Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : �� � � � ��„�� �r������ _ <br /> STORIBS:_�_ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: G�G$ ST�LS: ATT. DET. <br /> ESTI�iATED CONSTRIICTION VALIIATION (eacluding Ia.nd) : $ %[��� _ <br /> I hereby apply for a building permit and I acknowledge that the informativn <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 perntit and work is not to start without a permit; and <br /> �hat the work will be in accordance with the approved plan. � <br /> , <br /> � <br /> APPLICANT`S SIGNATORE: DATE: � <br />