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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 4r Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: Permit 7: Lr"-1_3 <br /> _ <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> zIP: <br /> JOB SITE ADDRESS: 3�o�S O <br /> (work) ^� �? <br /> ��� E �� PHONE: (home) `tt� 'o32`l <br /> NAME OF OWNER- <br /> MAILING ADDRESS: ��7 `��D 4OAQ <br /> CITY: ��-�(Z�T�'k- ZIP: �3�1 <br /> CO <br /> NTRACTOR- LC' o PHONE: L`-13- 8 2'1 <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> STATE LICENSE: 7 <br /> ��. PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> REGISTRATION 7 <br /> NAME: <br /> Accessory Structure Move - < <br /> TYPE OF WORK: New Addition <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) r <br /> STORIES: 1 SQ. FEET OF EAC$ FLOOR: <br /> NO. OF BEDROOMS: — GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION 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 co <br /> e�ii73-t I <br /> ordinances and codes of the City and with the State Buildingermit; and <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the approved plan- <br /> DATE: <br /> APPLICANT'S SIGNATURE: <br />