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�t CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 4bw Date Received: <br /> Total Fee: $ �(�- �' <br /> Date Approved: <br /> Entered By: ' �'�I Permit#:d2 <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 oon`e' ) '/ _OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ( I d"Y►.I�6l.VI�I P ZIP: •�� <br /> (work) ! ,JPO <br /> NAME OF OWNER: (~. PHONE: (home) V Za <br /> MAILING ADDRESS: lO� CITY: Gfle-A" ZIP: 3(0 <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS:y�Q 1��`P.l�l CITY: ZIP: <br /> STATE LICENSE: <br /> ARCHITECT/ENGINEER: �Ia �yliLQ® PHONE:MAILING ADDRESS: �c _ 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) : ao (� ` ✓ 4- ` <br /> STORIES: —,-- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. /DET. --�� <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 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 accordance with the pproved plan. <br /> ,,,,APPLICANT'S SIGNATURE ,� ATE: <br />