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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ (Q``. y= Date Received <br /> Date Approved: <br /> Entered By: ' 2J <br /> Permit#: <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) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: / 0 Z4 ZIP: <br /> (work) <br /> PHONE: (home) <br /> NAME OF OWNER:�' !/✓yLlif�L� !�(1� � .-�.� <br /> MAILING ADDRESS: � �DD ���% 7.(iu/ CITY• ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: �o CITY: yam' ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structurey Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: / SQ. FEET OF EACH FLOOR: �U <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> O G ' <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: � e.-r�� DATE <br />