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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> Date Received: <br /> Date Approved: <br /> Entered By: Permit#: '-),ZO <br /> ALL INFORMATION MUST BE SUBMITTEDCheck-IN FULL <br /> BEFOCIose� RE"IEw WILL BE STARTED <br /> ) ------ <br /> ----------------------------- <br /> -------------- ! __ ------------------ <br /> THE APPLICANT IS: (circle one) OWNER -- <br /> or NTRACTOR �, <br /> JOB SITE ADDRESS:--§,700 QG© It CJ ZIP: <br /> (work) <br /> NAME OF OWNER: Su G ��C' /e C ` PHONE: (home) <br /> MAILING ADDRESS: 3��0 dQCj hdQ�C� CITY:1 /ral?O ZIP: <br /> CONTRACTOR: �/ 1 _ t CA\i CO PHO : W 33 5 <br /> MAILING ADDRESS: CITY: C/ i ZIP:_525- <br /> STATE LICENSE: # DOOS 3fS' <br /> ARCHITECT/ENGINEER: 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 (describe in detail) <br /> /,2' X A s,,, roc <br /> r � t <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ern Y O <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 />