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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Pee: $ � / , / Date Received: <br /> Date Approved: <br /> Entered By: Permit#: �,4 cf <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: Q14 TQ�� ZIP: 7535b <br /> i (work) <br /> NAME OF OWNER: ` eM PHONE: (home) r <br /> MAILING ADDRESS: A CITY: 0YoV�o ZIP: ,W3 t <br /> CONTRACTOR: ����M nd4 �4�a �In� _:��I ok PHONE: q' Q�pF7 <br /> MAILING ADDRESS: Vr, CITY: ZIP: 9;b°1I <br /> STATE LICENSE: # 32Z� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration-4— Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : IN10cW1 Yb �IV�,(� e/ air I Oysz ow <br /> J��kf,"yv\ ^rQ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> hereby apply 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 SIGNATURE: DATE: b _ <br />