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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $_ C " Date Received: <br /> Date Approved: <br /> Entered By: As4 . Permit#: -%/fjO <br /> ALL INFORMATION MUST BE SUBMITTEDCheck-offNFULL BEFOOREsP� REVIEW WILL BE STARTED <br /> (See <br /> TtiE APPLICANT IS: (circle one) OWNER or �NTRACTOB <br /> ��` 5---c 3 %6 <br /> JOB SITE ADDRESS: x Oro �-� 'e� ZIP: <br /> (work) /75---35-2? <br /> NAME OF OWNER: 54 r /` PHONE: (home) <br /> MAILING ADDRESS: 75 (9x Toy"d 12.cL CITY: C/'OA.)U ZIP: 55 35-C; <br /> r 43 - �i' <br /> CONTRACTOR: 5 L /}� or,.LiC� J` �t_..� PHONE: ?- ;�0 6 <br /> e-i o�I n <br /> MAILING ADDRESS: L//0-0 4:-/c IS CITY: 5 f-�-���%� A-k ZIP: 5-5-4// <br /> STATE LICENSE: # C2c>G i o5 ' <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) : %ev,"-- f� o kJ F 5 IA 11 <br /> /'Ou7 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> nG^ <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 /> ��i /t (7 � ^ DATE: Lic/ •, 1 I <br /> APPLICANT'S SIGNATIIRE: ;'J` -` <br />