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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �_ �2 Date Received: <br /> Total Fee: $ � <br /> Date Approved: <br /> Entered By: ' Permit r: `n"? 7 <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) OWNER or CONTRACTOR <br /> ZIP: <br /> JOB SITE ADDRESS: <br /> (work) Qr*j L5- <br /> NAME OF OWNER: } T -�� PHONE: (hcme)473-8014 <br /> MAILING ADDRESS: 744r-> CITY: ZIP: 9,s-�>S(o <br /> CONTRACTOR• �'`��� �15�( l 7 ('�, PHONE: <br /> MAILING ADDRESS: <br /> CITY:_ ZIP: <br /> �j 3Z <br /> STATE LICENSE: - � <br /> ARCHITECT/ENGINEER: �Il� PHONE: <br /> ;SAILING ADDRESS <br /> CITY: ZIP: <br /> NAME. REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> _� SQ. FEET OF EACH FLOOR: 44 <br /> `��- T �� X <br /> STORIES.. <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. — <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : <br /> 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 <br /> anc <br /> understand this is not a permit and work is not to start without a permit; <br /> that the work will be in accordance with the approved plan. <br /> 4 DATE: �zc <br /> APPLICANT'S SIGNATURE: <br /> �� , - r� <br />