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CITY OF ORONO --• BUILDING PERMIT APPLICATION <br /> Total Fee: $ ��Qa</. VC? 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 /> ---------------------------------- ----------------------------------------- <br /> THE APPLICANT IS: (circle one) _ OWNER or C TRACTOR <br /> 11- <br /> JOB SITE ADDRESS: �Q M ° ZIP: <br /> (work) <br /> NAME OF OWNER: l PHONE: (home) <br /> MAILING ADDRESS: J( &CCITY: ZIP: �� <br /> -Tyu,CONTRACTOR: PHONE: 47c/-S6,= <br /> MAILING ADDRESS: P c b e 7 CITY: ZIP: > 5 <br /> STATE LICENSE: # C La 3 ,?q I <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: NewAddition Accessory Structure Move <br /> Demo Remo el/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: J� SQ. FEET OF EACH FLOOR: vc <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : <br /> I hereby apply for a building perm;t 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 ty and with the State Building Code; that I <br /> understand this is not a p mit nd work is not to start without a permit; and <br /> that the work will be in corda ce with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: �� _ <br />