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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 STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------- <br /> ---------------- <br /> --------------------- <br /> THE APPLICANT IS: (circle one) COwNEM or CONTRACTOR <br /> JOB SITE ADDRESS: oR P ZIP:- <br /> (work) <br /> IP: (work) <br /> ilt-14ov.14 H <br /> r_ ^�" PHONE: (home) L 7 <br /> NAME OF OWPIER:JJf3�is:�" rr � �f1f , ,�.� t�.}t IJ�SS�1 <br /> MAILING ADDRESS: <br /> CITY: O r�.UNo ZIP: <br /> PHONE: <br /> CONTRACTOR: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: _ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION tt <br /> TYPE OF WORK: New Addition Accessory Structure bIove <br /> Demo Remodel/Alteration _ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> �"T/,,V - A R/2 A D - C� N l <br /> CRTC H / AS INACT 1 0 %pt.�T <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION 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 /> �� ' �6S <br />