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CITY OF ORONO' - BUILDING PERMIT APPLICATION <br /> Total Fee: $ -7 7 Date Received:—&I /Mg-57 <br /> s <br /> Date Approved: /4-lei <br /> Entered By: ' <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) R OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: g CSna X�C�SC�c�n C�! ZIP: <br /> (work) r� <br /> NE: (h ) <br /> NAME OF OWNER• Q V�Q \ PHOomeq / 3 ' <br /> MAILING ADDRESS: J CITY: Z Non ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: �� �?�C2_\�' O r . CITY: ZIP: <br /> STATE LICENSE: # Q�� <br /> ARCHITECT/ENGINEER: A)D n PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n *11y� <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : \N oo`'� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> v0. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ fQ, COO <br /> I hereby apply for a building permit and I acknowledge that the information <br /> .ibove is complete and accurate; that the work will be in conformance with the <br /> ;rdinances and codes of the City and with the State Building Code; that I <br /> :nderstand this is not a permit and work is not to start without a permit; and <br /> -mat the work will be in accordance with the approved plan. <br /> IPPLICANT'S SIGNATURE. C, -- DATE: <br />