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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> �5/ v Date Received: / <br /> Date Approved: <br /> Entered By: W� <br /> Permit,ru.: <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) 01 ER or CONTRACTOR g <br /> " 3s� ( <br /> JOB SITE ADDRESS: �� ZIP: S S <br /> (work)-- <br /> NAME OF OWNER <br /> 4� /y C L(�� f_ PHONE: (home) <br /> MAILING ADDRESS: o`Z /'/` �l� d (' V L�/r CITY: � � = A /� ZIP: S�� <br /> CONTRACTOR: SC 0 CJY �� z�-'Y C A Y ' N �� r C ' PHONE: Z/ <br /> MAILING ADDRESS: 4 CITY• ZIP: <br /> STATE LICENSE: # <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) : V14 r 14 ��// <br /> /V/� /V <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 /> / <br /> I <br />