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f/ • r V <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ! 1. �� Date Received: <br /> Date Approved: <br /> Entered By: , <br /> Permit#: ( b � <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) �OWNJEr,� or CONTRACTOR <br /> JOB SITE ADDRESS: q635' LAk[V16 w I-AA1 ZIP: 7 <br /> (work) S,A Aj <br /> NAME OF OWNER: -IZIUA16A PHONE: (home) <br /> MAILING ADDRESS: •22.15 L I NGO Lti Sr Alt CITY: /"I PLS' ZIP: <br /> CONTRACTOR: 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 Addition Accessor Structure_ Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : I U L 0 G R A6 E R oo ' ,T 7-1 D <br /> 'F=M-111d -M156, �r_ N rE R /O A A N n ArX IL 1 O & s l ,d)AI 6 , ` 44 6 <br /> STORIES: _ SQ. FEET OF EACH FLOOR: /�rOy <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. C <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) 0 0 , <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: <br />