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it <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $.=.. 15 Date Received: <br /> Date Approved: <br /> Entered By:� 4Al <br /> Permit#: 6a�r"7 <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) (OWN! <br /> r CONTRACTOR <br /> JOB SITE ADDRESS: ZIP:-<-576-j,5-2 <br /> `/ (work) <br /> NAME OF OWNER: /� -7- 72-22 1 PHONE: (home)476-97S-r <br /> MAILING ADDRESS:42 GC P- /9-r /M CITY: 0�ftPLe- P�,))ZIP: <br /> CONTRACTOR: 6 � > PHONE: <br /> MAILING ADDRESS: CITY: 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 detail) : 3 &&tt/ <br /> STORIES: SQ. FEET OF EACH FLOOR: 2 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. 3 <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 /> APPLICANT'S SIGNATURE:'= -''� DATE: �- q-9/ `7 <br />