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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permit#: 3,�(0 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------ <br /> ------------------------------- <br /> --- --------------------- <br /> 4���� <br /> - <br /> THE APPLICANT IS: (circle one) OWNER <br /> JOB SITE ADDRESS: ���© � - xO ZIP: <br /> (work). <br /> NAME OF OWNER: �k.�C� ��`4P� PHONE: (home) <br /> MAILING ADDRESS: (D L7 �L��Lo�r-. -�-- CITY:0[C7 (\C� ZIP: <br /> CONTRACTOR:�r,p,),O Cly Q �C� 'n^ PHONE: as <br /> ` <br /> MAILING ADDRESS:�_c,Sfvo Q'S CITY,: 1 t ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: 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) : l <br /> C�,Q�SP��apa <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ a, 4q 12 <br /> I hereby apply for a building permit and I acknowledge that the informatio <br /> above is complete and accurate; that the work will be in conformance with th <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a permit and work is not to start without a permit; an <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: <br /> \/. DATE: l -Z��� <br />