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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: Date Received: <br /> Date Approved: <br /> Entered By: ' •,f <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 ONTRACT <br /> JOB SITE ADDRESS: 315 10Hr-AwA ZIP: <br /> (work) - <br /> NAME OF OWNER: -��iN�fil" PHONE: (home) If15-9-17.) <br /> MAILING ADDRESS: �l�Tpd-tCf��a �� CITY: C')�oHcp ZIP: <br /> CONTRACTOR: Fu) l�f-K��/I�S,I R PHONE: 3C>a�35I I <br /> MAILING ADDRESS: SaO1 Aypyeop �jw CITY: ZIP: �JJr3 r' <br /> STATE LICENSE: # Dt�3b8 f <br /> �� Git�stpcP-soo-� 111n C-+ S PHONE: `1 4215 <br /> 9��JT <br /> MAILING ADDRESS:' 12�45 L' 1"5tOHglh �,CITY: GIONVW VArUt4 ZIP: <br /> NAME. I)ALE C?IVS• � REGISTRATION # n <br /> TYPE OF WORK: New x Addition Accessory Structure_ Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : I kooj <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. -� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 16t •d-b <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 />