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TN <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ '� �'• 3C� Date Received: <br /> Date Approved: <br /> Entered By: <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) OLVNER CONTiA��6 <br /> JOB SITE ADDRESS: �(� � y`1/t ZIP: <br /> (work) <br /> NAME OF OWNER:_��0a N PHONE: (home)+ 0�j <br /> s ,L <br /> MAILING ADDRESS: &21 CITY: n)&A)D ZIP: <br /> CONTRACTOR: z�U br— A�i5y c We-a PHONE: <br /> MAILING ADDRESS: 3 n 2,0 EK.fl/V/'I-, S CITY:s ,� /% <br /> ULS G ZIP: ,�7,�J"����_ <br /> STATE LICENSE: # <br /> \AR H TECT/jENGINEER: /AUC., hs,-Soc, ` PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> PrrM© <br /> TYPE OF WORK: New Additi n_ Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : X��J� i ��/✓p <br /> S <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/Lincordance <br /> e City and with the State Building Code; that I <br /> understand this is nomit and work is not to start without a permit; and <br /> that the work will be with the approved plan. <br /> DATE: <br /> APPLICANT'S SIGNATURE <br />