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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 7� ` Date Received: ����5` - <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) OWNE or CONTRACTOR <br /> JOB SITE ADDRESS: QC7oC0 ��a� flaj � ZIP: SS3E6 <br /> (work) �'13-aoZ g <br /> NAME OF OWNER: i d- ��� �►y���'1 PHONE: (home) ��3- <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 n <br /> TYPE OF WORK: New Addition Accessory Structure X' Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : o /"P,(�� �� Q <br /> ro <br /> STORIES: SQ. FEET OF EACH FLOOR: /� X p77 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ AM,4 <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 /> -nderstand 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 �/ �J <br />