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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: <br /> x $ <br /> Total Fee: <br /> Date Approved: <br /> Entered By: Permit-11:--( <br /> ALL INF MUST BEFORE PLAN REVIEW WILL BE STARTED <br /> BE SUBMITTED IN F <br /> (See Check-off List Enclosed) --------- <br /> ----------------- - - <br /> -------------------- <br /> (circle one) r CONTRACTOR <br /> T� APPLICANT IS: <br /> r ZIP: <br /> JOB SITE ADDRESS: <� "� <br /> (work) J-35- 68-00 <br /> A^ �f- r- PHONE: (home) 1/71 09'Z.3 <br /> NAME OF OWNER: l "`� GI fie V ,�O �^U <br /> MAILING ADDRESS: <br /> fro <br /> CITY: �,c�r4�(Zr97��9- ZIP: S'S3 2/ . <br /> PHONE: <br /> CONTRACTOR: <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> STATE LICENSE: A <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> REGISTRATION a <br /> NAME: <br /> Structure Move <br /> TYPE OF WORK: New Addition Accessory Land Alteration <br /> Demo Remodel/Alteration Renovate <br /> n(� / ©n <br /> PROPOSED WORK (describe in detail) : I�.�M o�-� 4`� �O r Cs� / <br /> UuSc e <br /> STORIES: 'Z. SQ. FEET OF EACH FLOOR <br /> NO. OF BEDROOMS:_ <br /> GARAGE STALLS: ATT. DET. <br /> G o <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : <br /> I hereby apply for a building p <br /> ermit .and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with <br /> t I <br /> ordinances and codes of the City and with the State Building Code; <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 />