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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ / /. 'J�, Date Received: <br /> Date Approved: <br /> Entered By: , <br /> Permit#: (10 „?ry <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 CONTRACTOR <br /> Jos SITE ADDRESS: <br /> S-:2 5- TO"AWA- �� ZIP: SS" .57� <br /> tom. (work) �A�_ <br /> NAME OF OWNER: 14t, ,S �n��yL�✓f PHONE: (home) 474f__(:=MAILING ADDRESS: SSS^ �- CITY: W86t LAkF_ ZIP: S�5�5_Tb <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION tt <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 i ac rdance ith the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br />