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CITY OF ORONO - BUILDING PERMIT APPLICATION c� <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 /> ------------------------------------I.,----------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> JOB SITE ADDRESS: 5 � (� ZIP: <br /> (work) "WW9 <br /> NAME OF OWNER: 1 �C�v��.C!+"� jt .. 1C r^� 1 L-L-p r•1 PHONE: (home)y7/ <br /> MAILING ADDRESS: , CITY:11JyZ_P1 ZIP: G5 3r7. <br /> CONTRACTOR: NG!^� L PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: I PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition .�X Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : C' T' x 'T• DECK W(71-1 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> C� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 0 �tiJ .�- <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 /> PPLICANT'S SIGNATURE: I ac s� Q �" ^ DATE: ►� <br />