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Q <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: Date Received:-j-3/- f,5r <br /> Date Approved: <br /> Entered By: * <br /> Permit#: &331 <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) 77�1r CONTRACTOR C / <br /> JOB SITE ADDRESS: 2 2 w ZIP: <br /> (work) ���2�3 �c <br /> NAME OF OWNER: t v. o r r�Sv n c_ kAPHONE: (home) L <br /> 1 <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION u <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 0 A&C_- 0 <br /> - e�.j� A, � � A � � OcDc <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 /> crdinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work ' s not tp start without a permit; and <br /> that the work will be in cor hce with t app o d plan. <br /> i <br /> APPLICANT'S SIGNATURE� DATE: J <br />