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r CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <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) OWNER or C�ONTRACTOR <br /> JOB SITE ADDRESS: 35 x'o. �� �',�/aiv n ZIP: <br /> (work) <br /> NAME OF OWNER: S •�' v e PHONE: (home) <br /> MAILING ADDRESS: CITY: �� L d,4 ZIP: <br /> CONTRACTOR: �7` / I►'S - r, . PHONE: 7,V 7/ <br /> MAILING ADDRESS Q c•�c /,, S_`i CITY: /4� ZIP: c <br /> STATE LICENSE: # 6 <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) : E' m ° Y 6'�a S /� 1��!�`> 4- <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 /> APPLICANT'S SIGNATORE:���- �Y' �i�iJ � c zt DATE: Y - <br />