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1 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: Permit'• 17n zy <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> ( See Check-off List Enclosed) <br /> --------------------------------- <br /> ----- <br /> THE APPLICANT IS: ( circle one) OWNER or CONTRACTOR <br /> ZIP: <br /> JOB SITE ADDRESS: f U � C+ <br /> (work) C,," 76 Z z z y <br /> C PHONE: (home)? <br /> NAME OF OWNER:—LC) L- a ( 4r / <br /> �C CITY: ZIP: S S 3 ( / <br /> MAILING ADDRESS: <br /> S Y �' S' <br /> PHONE: <br /> CONTRACTOR: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> STATE LICENSE: T <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> *SAILING ADDRESS: <br /> CITY: ZIP: <br /> REGISTRATION A <br /> NAME: <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move <br /> Demo Re_mode.i/Alteration Renovate Land Alteration <br /> ti � (� t7 r <br /> PROPOSED WORK (describe in detail) : P ( C_ P� O O <br /> STORIES: <br /> SQ. FEET OF EACH FLOOR: Z <br /> N,-O. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> hereby apply for a building permit and I acknowledge that the informatior <br /> above is complete and accurate; that the work will be in conformance withathhe <br /> ordinances and codes of the City and with the State Building Code anc <br /> understand this is not a permit and work is not to start without a pe <br /> rmit=hat the work will be in acco ance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: -2S � <br /> A.. �� �S <br />