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Total Fee: $ Date Received: l� '� �� `� <br /> Entered By: , Permit#: l� �� i� `'�7� � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATIOl`�T <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ;�� � � . ��� t I � � � <br /> � �G K.�.�I ZIP: �� S � �� � <br /> � y�� <br /> NAME OF OWNER: i � �z h ���IYY��� C�%S� PHONE: (home) -�f16— ���� <br /> (wo k) l s�'2 -�/�/;�/�� <br /> MAILING ADDRESS:�� /j�/,�' / Z-( CITY: ����.�� ZIP: � �L <br /> �s _;��, <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: /�-,�f�f�� /'�j����-zj ��L ���i` <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTLviATED CONSTRUCTION VALUATION (exclud.ing land): $ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I unders this is not a permit and work is not to start without a <br /> pernut; and that the work will be in a lance with �approved plan. <br /> _�� __.l • <br /> r ' / ���== <br />