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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: Date Received: <br /> Date Approved: <br /> Entered By:� Permit tt: /�/ C <br /> ALL INFORMATION MUST BE SUBMITTEDCheck-IN List FULLBEFse <br /> OORo � REVIEW <br /> WILL BE STARTED <br /> ---------------------- <br /> ------------------------------ <br /> THE APPLICANT IS: (circle One) OWNER o CONTRACTOR <br /> JOB SITE ADDRESS: I'7�'' ���JAC � ZIP: 553S(O <br /> (work) <br /> NAME OF OWNER: PHONE: (home) <br /> MAILING ADDRESS: CITY: i�j (a _ ZIP: CJJ3��0 <br /> CONTRACTOR: �� A C�t�J�z- PHONE: q <br /> MAILING ADDRESS: X95 �S �( CITY: ts�El�Is\ ZIP: S�3 ' <br /> STATE LICENSE: # DbX,__57)S_1 <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) : � <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 /> cvS <br /> APPLICANT'S SIGNATURE: N`' DATE: <br />