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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 'Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: ,/ <br /> Fermi t#:�39_3 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------- <br /> ---------------------------------------- <br /> THE APPLICANT IS: (circle one) WNERjor CONTRACTOR <br /> JOB SITE ADDRESS: a U ��4 u��T �-t/N � ZIP: <br /> (work) <br /> NAME OF OWNER: PHONE: (home) 4yct oa4z <br /> :SAILING ADDRESS: a-- S ��-�Ty: d��" �-' ZIP: <br /> CONTRACTOR: >__ PHONE: <br /> HAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration_ <br /> PROPOSED WORK (describe in detail) : ��N <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 /> zz <br /> n <br /> APPLICANT'S SIGNATURE: DATE: <br />