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rA <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: - Permit#: -�O <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: 9 7 d f�Q'Lyd� ZIP: <br /> (work) <br /> NAME OF OWNER: 4-,Ale- 14Zo/t-d� PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: x{73a <br /> MAILING ADDRESS: � _ a O Loeer C ZIP: <br /> STATE LICENSE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: 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) <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 ly for a building permit and I acknowledge that the informations <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 II <br /> understand this is not a permit and work is not to start without a permit; andl <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: <br /> DATE: � ` <br />