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CIQTY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ � Date Received: <br /> Date Approved: <br /> Entered By: ,� 8 <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------- ------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: AqT —ronLi- ! g UV ZIP: <br /> 1 (work) 4793 4/3 <br /> NAME OF OWNER: PHONE: (home) <br /> MAILING ADDRESS: WiSy ( 4 );k-, W . CITY: Mwle,P/afn ZIP: <br /> CONTRACTOR: I1 10, PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New V Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> 11 <br /> STORIES: I� SQ. FEET OF EACH FLOOR: I/aO <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT._3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 160,600.00 <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 /> APPLICANT'S SIGNATURE:," DATE: <br />