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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STA RtED <br /> (See Check-off List Enclosed) ---------- <br /> ---------------------------- <br /> -------------------------------- — <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR,�i <br /> JOB SITE ADDRESS: 3�O S� /b �"��� ry "�'� a re /�/-� <br /> f A. ZIP: S 3 9 <br /> (work) <br /> NAME OF OWNER: yv vtc {HONE: (home) <br /> MAILING ADDRESS: (p Jr CITY:,/�����ar�-P ZIP: <br /> CSF PHONE: <br /> MAILING ADDRESS: a'y 7 d �r r u `'J �^'� CITY: a l�fz. zip: S � 6 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: t,J n%r +� w �-J �t / '� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK <br /> describe in detail) : ��r`"� ` - X `� 4�6V <br /> QS {ol b CIS E e,OIL <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ a Ute <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 a rdance with the approved plan. <br /> APPLICANT'S SIGNA DATE: <br />