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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Tatal Fee: $ '� % `� / 1' Date Received: <br /> Date Approved: <br /> Entered By:� Permit t`, <br /> �. <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) OidNER or CONTRACTOR <br /> JOB SITE ADDRESS: D �.$ �O{1 �� � d' ZIP: <br /> (work) -7a.�y <br /> s0-1 <br /> NAME OF OWNER: PHONE: (home) �j�N ^ Sal"] <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: 5�r L nQ 0.ra SC,�,�-.acZ ,: nc . PHONE: <br /> MAILING ADDRESS: °t1S l�C L� CITY: ZIP: Ss �y7 <br /> STATE LICENSE: �j <br /> ARCHITECT/ENGINEER: �L��C <br /> MAILING ADDRESS: 'AS L�i S; ���, �� CITY: 1�Q 1S- ZIP: SSS 6 <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. 3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ O 0 D <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 accordan e with tea proved plan. <br /> DATE: `7 2� 9 <br /> APPLICANT'S SIGNATURE: <br />