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� � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ �/ ;�' �� C� Date Received: <br /> Date Approved: <br /> Entered By: � ,i� <br /> Permit�: (,-�'/�' <br /> ALI� INFORMATION MIIST BE SDBMITTSD IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> Z'HE APPLICANT IS: (circle one O ER o CONTRACTOR <br /> JOB SITE ADDRSSS: ! � 3 � V ZIP: s��p <br /> (work) ,3��J b/0 <br /> 0 / <br /> N� OF OWNER: ��j `� ���. �Il�:r PHONE: (home)�' J <br /> I�iAILING ADDRESS: CITY: ZIP: <br /> � � L <br /> CONTRACTOR: �' H��� v �'� <br /> MATLING ADDRESS: � ' CITY: � ZIP: <br /> STATE LICENSE: � b��� <br /> ARCHITECT/ENGSNEE�22: PHONE: <br /> MAILING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessory Struczure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> 1 ' I � <br /> PR POSED WORR (describe in detail) : �. � t il I 1 <br /> � a � o , . <br /> Cp r 1� " � <br /> STORIES: SQ. FE$T OF EACH FLOOR: <br /> NO. OF B�DROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIHATED CONSTRUCTION VALIIAZ'�ZON (eacluding land) : $ �V'�✓,W <br /> I hereby apply for a buildin� 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 �S ate Building Code; that I <br /> understand this is not a perm ' t and work is notf�to t rt without a permit; and <br /> that the work will be in accor c with e a prov d pla . � <br /> .,/ ' <br /> APPLICANT'S SIGNATDRE: , DATE: �. <br /> '/ <br />