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CITY OF ORONO - BUILDING PEI;U41T APPLICATION <br /> $ { �j d'� Date Received: ?�/S <br /> otal Fee: �- �Sa-- <br /> Date Aonroved: <br /> .:iteredBy Per_mr it 4: =3� <br /> :LL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------- <br /> --- <br /> --------- <br /> ------------------- <br /> TE APPLICANT IS: circle one ) tdN or CONTRACTOR <br /> mac; ZIP: <br /> OB SITE ADDRESS:- <br /> (work) <br /> DDRESS: (work) <br /> ;AME OF OWNER: <br /> PHONE: (home) Y �l �2c3G <br /> AILING ADDRESS: 3 2UC7rYLCyica�, ��*-� CITY: ZIP: <br /> _'ONTRACTOR: 0J) �/V U 'V✓l S'S'A�f PHONE: <br /> AILING ADDRESS: C9 Q /?l%`' doff gt G'k CITY: M 0 (f At/) ZIP: <br /> ;STATE LICENSE: T <br /> : BCHITECT/ENGINEER: PHONE: <br /> _AILING ADDRESS: CITY: ZIP: <br /> AI _ REGISTRATION <br /> YPE OF WORK: New Addition Accessory Structure clove <br /> Demo Remodel/Alteration__ Renovate Land Alteration <br /> ROPOSED WORK (describe in detail)-4 cc- <br /> TORIES: SQ. FEET OF EACH FLOOR: <br /> +O. OF BEDROOMS:_ GARAGE STALLS: ATT. DET. <br /> STIMATED CONSTRUCTION VALUATION (excluding land) : <br /> hereby apply for a building permit and I ackncwledge that the information <br /> bove is complete and accurate; that the work will be in conformance with the <br /> rdinances and codes of the City and with the State Building Code; that I <br /> aderstand this is not a permit and work is not to start without a permit; and <br /> zat the work will be in accordance with the approved plan. <br /> ',PPLICANT'S SIGNATURE: <br />