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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> c7 Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: permit#: -70 cl <br /> ALL INFORMATION MUST BE SUBCheck IN FULL BEFORE <br /> PLAN <br /> �IEw WILL BE STARTED <br /> See <br /> _ ( --------------------------- ------------- <br /> ------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or ONTRACTO - '5CeP - U/5,-, <br /> JOB SITE ADDRESS:-36,55- /� y �� i� ZIP: <br /> (work) <br /> . <br /> PHONE: (home) <br /> home) <br /> NAME OF OWNER: !�r� y o J t' c�c�a S ,r h s s s J <br /> MAILING ADDRESS: 3G- S� ' CITY: /l, �r✓ c �'h- ZIP: 5 sj�i <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: �V 7C) �arY UI-ek) !�h - CITY: D�l�, A(, ZIP: ')'S -7Cs� Cl <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: <br /> ZIP: <br /> MAILING ADDRESS: <br /> NAME: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) :: S a <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ �Z�> <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 /> i/ � <br />