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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 7 Date Received: <br /> Total Fee: $ �7 1, <br /> Date Approved: <br /> Entered By: ' <br /> Permit#: �9c_2i? <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> --------- <br /> ----------------- -- ------ <br /> ---- <br /> ��---•� <br /> THE APPLICANT IS: (circle one) OWNE r CONTRACTOR r� <br /> JOB SITE ADDRESS: ��G n TAACI 91':�' zip: <br /> (work) c� <br /> NAME OF OWNER- PHONE: (home)141 (v`�� �� 1 <br /> MAILING ADDRESS: �✓11 CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> AILING ADDRESS: CITY: ZIP: <br /> M <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> r'AILING ADDRESS: CITY: ZIP: <br /> Nom: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure n Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ '� OO <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: v DATE:'-\���� <br />