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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> Date Received: <br /> Date Approved:_ <br /> Entered By: * ,['�i) <br /> Permit �2 <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 /> JOB SITE ADDRESS: 7 T�f�1 Ic►4th V-� Kik ZIP: <br /> (work) <br /> NAME OF OWNER: �; lS � PHONE: (home) <br /> MAILING ADDRESS: -7-7 Q-' TC>LA V-A' t�A Kik CITY: n `Z,zp ZIP: <br /> CONTRACTOR: <br /> IAZ, PHONE: �lZ <br /> MAILING ADDRESS: Z (p ©C-I�r ' I�C"C CITY: ZIP: LJ <br /> ;TATE LICENSE: $ c, 4- <br /> ARCHITECT/ENGINEER:_I�>4, .J\- LPHONE: <br /> MAILING ADDRESS: � Y�-�/"��_ CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : `Fz�ISTtN� '��© � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding g 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 /> APPLICANT'S SIGNATORE- DATE: Z <br /> i <br />