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~ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: o <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 r CONTRACTOR <br /> JOB SITE ADDRESS: �Z� ® ZIP: <br /> (work) <br /> NAME OF OWNER: U L12�--Lid-- PHONE: (home) <br /> MAILING ADDRESS: ,)12�V �— CITY: 40 P-O ' D ZIP: <br /> CONTRACTOR: O UAP,4 ?�Nt x l 'r— PHONE: 47h 0,00 <br /> MAILING ADDRESS: 5rco ��Z �-f2 - CITY: O2QNtD ZIP: <br /> STATE LICENSE: # �JQ <br /> ARCHITECT/ENGINEER: ,� _ PHONE: <br /> MAILING ADDRESS: A_,z) - CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move_ <br /> Demo Remodel/Alteration Renovate Land Alterati <br /> PROPOSED WORK (describe in detail) : <br /> C770 ZgkAIV& ID I-ON <br /> STORIES:_O"rZ-S4• FEET OF EACH FLOOR: 15ZfO NArfN F <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. L' DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the informati n <br /> above is complete and accurate; that the work will be in conformance with t2 e <br /> ordinances and codes of the City and with the State Building Code; t at <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 /> DATE: <br /> APPLICANT'S SIGNATURE: <br />