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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ` r <br /> Total Fee: $ AS �. L <br /> Date Received: <br /> Date Approved <br /> Entered By: �4�L� <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) 0O�or CONTRACTOR <br /> JOB SITE ADDRESS: <br /> ZIP:PN <br /> (work) <br /> NAME OF OWNER: n PHONE:YI(home) <br /> MAILING ADDRESS: jQ6K5 ( 1'�Q C l . CITY: o✓1 Pr-al f"P ZIP: .� <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: <br /> ARCHITECT/ENGINEER: �� PHONE: <br /> :BAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION u <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> ZL I <br /> h <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.-4— <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ �� Z�c7 <br /> T- 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; arid <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: 41 Ix DATE: /S- �� <br />