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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $_4 �• 9 Date Received <br /> Date Approved: <br /> Entered By: '- Permit#: 64(,01 <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 o CONTRACTOR <br /> JOB SITE ADDRESS: l /l�'���l/Q �r+, ZIP: <br /> (work) <br /> NAME OF OWNER: ICA /�l�hS OrJ PHONE: (home) <br /> MAILING ADDRESS: S-0o 7a/'���<�Gi.�i,� Ai CITY: 0"A"12 ZIP: <br /> CONTRACTOR: w/�/�1��/��(� ���'✓ %wI Qw /�✓G PHONE: f/ <br /> MAILING ADDRESS: %D<C7 `C,'N ' /'�✓'nl �.�I CITY: l �,�l o�NK'� ZIP: <br /> STATE LICENSE: # (---o <br /> ARCHITECT/ENGINEER: TF <br /> PHONE: i�2 <br /> MAILING ADDRESS: 'J f-`� 1/v�, L f'5� l� S%, CITY:^/'✓j!^/i1/��Q�O I� ZIP: <br /> NAME: r)C IVA/� f L 'k (>�. REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <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 in accordance with the approved plan. <br /> /P, <br /> APPLICANT'S SIGNATURE: DATE: <br />