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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> `Total Fee: $ l �0 D �� �O Date Received: <br /> Date Approved: <br /> Entered By: , <br /> Permit#: 41D �Ifi!_ <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: c o To..{ k/4w - ZIP: <br /> (work) <br /> NAME OF OWNER: PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PA24G,1Rf �`�- 3�ii -� cx�' PHONE: <br /> MAILING ADDRESS: 3S!S0 )04W2 wqy CITY: 'ZIP: �S <br /> STATE LICENSE: # Oaa /I t9l <br /> ARCHITECT/ENGINEER: C/l.:5;0l7 A-;. PHONE: <br /> MAILING ADDRESS: �l 3�,BC 'Y )V e. CITY: M/-LS ZIP: SS7417 <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) : /-A I SC . 45-k- if eqc 7� 7i�✓� <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ (8.0 aoo, <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 11 <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 SIGNATURE: 2 DATE: �� G '�2 <br />