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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ,ff <br /> Total Fee: $ Date Received: <br /> (D "✓�' 1 S <br /> 7�• 02 _� <br /> Entered By: <br /> Date Approved: <br /> 1 � <br /> Permit#: 7 3f <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: (cir�,c/le one) OWNER <br /> OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 3 3 % v" �i""y� �� ZIP: 4 <br /> (work) <br /> NAME OF OWNER: <br /> PHONE: (home) V7 <br /> �, <br /> MAILING ADDRESS: _� 3 Q IN J�'1 CITY: ZIP: J 3 SY <br /> CONTRACTOR: i�"�`-- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> Nom: REGISTRATION n <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : G� — U ^ X d v <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ �0(?" r�-b <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 I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be inac ordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ,�'" DATE:" � <br />