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� CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> � <br /> Total Fee: $ /���� Date Received: <br /> Date Approved: <br /> Entered By: E� permit�: '��<ad <br /> ALL INFORMATION MIIST BS SIIHMITTED IN FDLL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) � <br /> --------------------------------------------- <br /> THE APpI�ICANT IS: (circl.e one) O�VNER or CONTRACTOR <br /> JOB SITE ADDRESS: % % �� �/1�I���i���� �/i��• ZIP: ��,���% <br /> (work) <br /> NAMLr OF OWNER: <br /> `A � PHONE: (home) % � � � <br /> MATLING ADDRESS: � A�'C CITY: G� ZIP: ��3��_ <br /> CONTRACTOR• �. �%'�`'�' PHONE: ��.���1 J"� <br /> MATLING ADDRES : ��D� �� ��'• � CITY: C r ZIP: i�/� ����� <br /> STATE LICENSE: # %��� <br /> ARCHITECT/ENGINEER: +` PHONE: <br /> MATLING ADDRESS: ��' ZIp� <br /> �: REGISTRATION # <br /> TYPE OF WORR: New • Addition Accessory Structure Mave � <br /> D�o Remodel/Alteration�Renovate Land Alteration <br /> � <br /> �. '_. <br /> PROPOSED WORK (describe i.n detail) : <br /> STORIES:_� SQ• FEET OF EACH FZOOR: <br /> NO. OF BEDROOMS: G�GE STALLS: ATT. DET. <br /> /�� � .� <br /> ESTIMATED CONSTRIICTION V�LIIATION (esclnding land) : $ ��� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> abone is complete and accurate; that th rk will be in conformance with the <br /> ordinances and codes of the a w' h the State Building Code; that I <br /> understand this is not a it, is not to start without a permit; and <br /> that the work will be i acco e h the approned plan. • <br /> APPLICANT'S SIGNA <br /> � DATE: �O �� <br />