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r W <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 7 �'�.716-Y Date Received: <br /> Date Approved : <br /> Entered By: Permit#: '9/4 1- <br /> ALL INFORMATION MUST BE taUBMITTrD IN FULL 13EFORE PLAN REVIEW WTT,To 239 STARTED <br /> (See Check-off List Enclosed) <br /> _--------------------------------- <br /> THF: APPLICANT IS: ( circle one) OWNER CONTRACTOR <br /> JOB SITE .ADDRESS: OCrO ZIP,. <br /> (work) D a <br /> NAME OF OWNER: of PHONE: (home) <br /> HAILING ADDRESS:_ CITY: ZIP:..s ��/ <br /> CONTRACTOR: PHONE: <br /> i <br /> MAILING ADDRESS: �/'%/_l�1 �_ CITY: <br /> T ZIP: D <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS_ CITY: ZIP: <br /> NAME: REGISTRATION # . <br /> TYPE OF WORK: New Addition Accessory StructurA Move <br /> Demo Remoel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: - SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 04 <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 he in conformance with the <br /> ordinances and codes of the City and with the State Fiiji lding Code that <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 /> APPLICANT'S SIGNATURE: DATE: <br />