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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> r <br /> Total Fee: $ 04. 9.- Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: z1.3 U <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) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 13 25- �/ 1f �� `P ZIP: S 34 Y <br /> (work) <br /> NAME OF OWNER: O N ti J U PHONE: (home) 1�9_ 3 9 Y Y <br /> V I <br /> MAILING ADDRESS: `e �LQ16 '-e CITY: ZIP: r3� <br /> CONTRACTOR: �-{ISIC H ULz 0 PHONE: <br /> MAILING ADDRESS: 3 1 ! �_ Vv •F Sr j?p(,V BLVD CITY: ZIP: <br /> STATE LICENSE: # ©(r} U <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) : �Of! I /It f CAI l ti00 S- <br /> T-erlr\ 0yt- Ouds eq- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. c� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ y �oy <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 ac ordance it he approved plan. <br /> APPLICANT'S SIGNATURE: DATE: cS ^�� <br />