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CITY OF •ORONO - BUILDING PERMIT APPLICATION ` <br /> rj , ,S� Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: r J <br /> Permits: 1-44nS <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------�OEDR <br /> ---------------------------------------- <br /> THE APPLICANT IS: (circle one) or CONTRACTOR <br /> JOB SITE ADDRESS: �(,/ C) L�,�GZ�I�Y'(�Z7lyl2 ZIP: <br /> (work) <br /> NAME OF OWNER• /! -Ilia S l�?!�l"llVt l2 PHONE: (home) <br /> MAILING ADDRESS:.- &,yl) /tet //C ` OL��y/ /�GL CITY: �j/�d/�C D ZIP: -5 _,23S-_(, <br /> � <br /> CONTRACTOR: Ow/'��.GPHONE: <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 Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : « /�' �� C-f e L <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> - o <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 SIGNATURE: DATE: <br /> P <br /> s <br />