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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> 3 U 6c) Date Received: <br /> Date Approved: <br /> Entered By: z Permit tt: _ 0 ?� <br /> _WVa+, _eU+_ <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS. (circle one�Y OWNER pr CONTRACTOR <br /> JOB SITE ADDRESS:��-> <br /> ZIP: c � <br /> (work) <br /> NAME OF OWNER: i`�' ��� PHONE: (home) <br /> MAILING ADDRESS: � L��-S�/i��%it�f/� i�,lam CITY:e2 �e_ ZIP: <br /> CONTRACTOR: PHONE. <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION 1 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration_ <br /> PROPOSED WORK (describe in detail) : <br /> _I_z 2LI—Ya- ZZ6EeLZ22t <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 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 /> - - - <br /> DATE: l u' <br /> APPLICANT'S SIGNATURE: <br /> j� <br /> r aJJ©vl C�vt,�' �F, <br /> Sor-4 <br />