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t <br /> CITY OF ORONO - BUILDING PERMIT APPLICATI011 <br /> Total Fee• $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------- <br /> T:[E APPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> JOB SITE ADDRESS: ^ d O �T�� C�r��'�� . Y�1 1�1 ZIP: S �� <br /> (work) <br /> NAME OF OWNER: l y 1d, " it I P 3 , PHONE: (home) <br /> MAILING ADDRESS: YLO ' CITY: (.�M� a �c ZIP: SS3;' 1 <br /> CONTRACTOR: PHONE: <br /> M ILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION A <br /> TYPE OF WORK: New Additio Accessory Structure Move <br /> Demo Remodel/Alteration' Renovate Land Alteration <br /> n a <br /> PROPOSED WORK (describe in detail) : "'t'U ^ -\a <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: ) GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ©' <br /> _T 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 /> -hat the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE M', f U�✓ DATE: <br />