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CITY 1OF ORONO - BUILDING PERMIT APPLICATION <br /> ' • Date Received: <br /> Total Fee: $ , <br /> Date Approved: <br /> Entered By: Permits <br /> IN BEFORE PLAN REVIEW WILL BE STARTEDALLINgpRMATION MUST BE(See Che�-off S Enclosed) <br /> -- --i <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> DRsSS: � .2. 4 c:D c2`IST[L 4 ' / L) S ZIP: ��3 v <br /> JOB SITE ?� (work) 3V--70S7 <br /> PHONE: (home)NAME OF owxER: IZo N L�� I✓I.lNluIc� ' r6zIP- S-S.3S� <br /> CITY: O)2 Q) <br /> HASLING ADDRESS: S/4-M � <br /> SELF PHONE: <br /> CONTRACTOR: <br /> MASLING ADDRESS: CITY:_______ ZIP: <br /> STATE LICENSE: # <br /> PHONE= <br /> =�2CATTECT/ENGINEER: ZIP: <br /> CITY: <br /> .AILING ADDRESS: <br /> REGISTRATION z <br /> LAME: _____________________ <br /> AME: <br /> Addition Accessory Structure — <br /> :YPE mF WORK: New Move Renovate Land Alteration <br /> Dem __Remodel/Alteration <br /> PROPOSED WORE (describe in detail) : <br /> 0 <br /> STORIES: SQ. r.&.6. OF EACH FLOOR: <br /> NO. OF BEDROOMS: <br /> GARAGE STALLS: ATT. DET.__ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> e that the information <br /> 1 for a wilding permit and I acknowledg <br /> I he-eiy aPP Y that the work will be in conformance Code;i bathe <br /> e <br /> above iscomplete and ccurate; and with the State Buildingpermit; and <br /> understand and codes f them taCn <br /> understand this isnot a permit and work is not to start without a p <br /> that the work will be 'n accordance with the approved plan. - _ - <br /> DATE: 6 -- /3_ 5 <br /> APPLICANT'S SIGNATURE: /,'/ <br />