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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> . V <br /> Total Fee: $ ®� � Date Received: <br /> Date Approved: <br /> Entered By: ' <br /> Permit#: ?W <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) OP7NER or ONTRACTOR <br /> ZIP: s ?L� <br /> JOB SITE ADDRESS: / <br /> (work) <br /> NAME OF OWNER:,///�/J/ ��-�� PHONE: (home) <br /> MAILING ADDRESS: �.Sl �` �' '� CITY: J/ ��I _ ZIP: <br /> CONTRACTOR: Zx- PHONE: <br /> i <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: � � ,- �� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Struc -- <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 /> DATE: <br /> APPLICANT'S SIGNATURE: <br />