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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �� Date Received: �/ <br /> 42/ <br /> Total Fee: $ c,� <br /> Date Approved: 5---,24) - 1 <br /> - <br /> Entered By: Fermiti - _= <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> - ------ ------ --- <br /> THE APPLICANT IS: (circle one) OWNER or ia •t.. <br /> a ZIP: <br /> JOB SITE ADDRESS: Z O > & . 0 •� <br /> (work) <br /> PHONE: (home) <br /> NAME OF OWNER: .TI/ ' A - <br /> �,: .�. TY: Wt4�(7,4-7-74zIP: i``�."�3 q/ <br /> MAILING ADDRESS: ••:•_ • <br /> PHONE: 731 `Z' - <br /> CONTRACTOR: [At ' - •J A _ <br /> MAILING ADDRESS: , _ .a`1.1 .4_ <br /> — 0 ` CITY: U/'U'fJ00,G1,0-`f ZIP: (aI 21f <br /> STATE LICENSE: T <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION Q <br /> Rove Structure <br /> Accessory M <br /> Addition Li <br /> AlteratMon <br /> • <br /> TYPE OF WORK: New Renovate <br /> Demo Remodel/Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: SQ. FEET OF EACH LOOK: <br /> NO. OF BEDROOMS: <br /> GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION Qp,I,IIATION (excluding <br /> laud) : $ <br /> permit and I acknowledge that the information <br /> I hereiy apply for a building that the work will be in conformance with the <br /> above is complete and accurate; Code; <br /> ordinances and codeso of the City <br /> and with the State Building permit; and <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the approved plan. <br /> / i'DATE <br /> APPLICANT'S SIGNATURE: / .-'��'"" `"� <br />