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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: " <br /> Total Fee: $ <br /> Date P.Dvroved <br /> Entered By: ,( J Permits: <br /> TIED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> ALL INFORMATION MUST BESUBMITTED <br /> Check-off List Enclosed) <br /> ------------------------------ <br /> ------------------------ <br /> THE APPLICANT IS: (circle one) y-�OWN/E/R or CONTRACTOR / <br /> JOB SITE ADDRESS: / '- `�� �✓ ' ZIP: SJ�S6 <br /> (work) <br /> NAME OF OWNER: AJ �-� SONE: (home) <br /> ?.AILING ADDRESS: //L/S �D.tl�4 4✓,4 A6e1Ty: oR4Aln ZIP: <br /> CONTRACTOR:__ �a ES /�1 i • S PHONE: I <br /> C c- <br /> MAILING ADDRESS: S Ui7te CITY: J � 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 fetail) : �/ <br /> STORIES: SQ. FEST 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 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 acc ce with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: Z,/ <br />