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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ` 9�o Date Received: �6196 <br /> �N" Date Approved: <br /> Entered By: Z <br /> Permit#: ?1.!� <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 CONTRACTOR <br /> JOB SITE ADDRESS: ✓�0'O ` " ZIP: <br /> ✓J /- <br /> (work) <br /> NAME OF OWNER: ��� ✓ �1 J �J��� PHONE: (home) 7�' <br /> MAILING ADDRESS: �S6O G(Ic�JCx� /�/� CITY: 63,60-A') d ZIP: <br /> CONTRACTOR: //C/ /� �� / ��� S A'Iff- PHONE: <br /> MAILING ADDRESS:J'7O Q .4 CITY: �C�J� ZIP: <br /> STATE LICENSE: # //O ( <br /> ARCHITECT/ENGINEER: 0 �� / C� 17 C S PHONE: <br /> MAILING ADDRESS: CITY: 130, i ZIP: <br /> NAME: �1 1 (r j,� (G✓ S REGISTRATION # t)1119 . <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: SQ. FEET OF EACH FLOOR: JG� <br /> NO. OF BEDROOMS: 'L GARAGE STALLS: ATT. \'� DET. <br /> ESTIMATE CONSTRUCTI•N VALUATION (excluding land) : <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 /> DATE: <br /> APPLICANT'S SIGNATURE: <br /> S�� �6 <br />