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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> : ! q�' �D Date Received: <br />":,tal r"ee $ <br /> Date Anoroved: --- <br /> -tered By: <br /> Permit <br />,,LL INFORMATION MUST BE SUBMITTED IN F= BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------- ----------------------- --- <br /> TE APPLICANT IS: (circle one) OWNER CONTRACTOR <br />'OB SITE ADDRESS: 7/-/0 f�LJ A- ZIP: <br /> (work) <br /> �,%lE OF OWNER: A(.-k J PHONE: (home) 7 I <br /> AILING ADDRESS: 7�ia K 4-x-) CITY: ©z0 d ZIP: <br />;)NTRACTOR: V C �- PHONE: -7 7 0 7 -N <br /> =LING ADDRESS: 2 c>'3G15� L`x�,Ls/o�,L CITY: S l--fwCe-wooh ZIP: i��33111 l <br /> -xTE LICENSE: <br /> .=TECT/ENGINEER: PHONE: <br /> "LING ADDRESS: CITY: ZIP: <br /> REGISTRATION a <br />" <br /> Addition Accessory Structure Move <br /> :'E OF WORK: New <br /> Demo Remodel/Alteration Renovate Land Alteration <br />,OpOSED WORK (describe in detail) : <br /> .RIES:�_ SQ. FEET OF EACH FLOOR: <br /> OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> nIAT D CONSTRUCTION VALUATION (excluding land) : $ y x� <br /> �reby apply for a building permit and I acknowledge that the information) <br /> ' 7e is complete and accurate; that the work will be in conformance with then <br /> '. nances and codes of the City and with the State Building Code; that II <br /> _rstand this is not a permit an work is not o start without a permit; and <br /> the work will be in accordan¢' with the ap oved plan. <br /> jo I ' <br /> DATE: 61-13 <br /> _dICANT`S SIGNATURE: <br /> %�� <br />