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` CITY OF ORONO - BUILDING PENT APPLICATION <br /> jDate Received: <br /> Total Fee: $ <br /> Date Approved:2Entered By: ' PermitA: --�--3o <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------- ------ <br /> ------------------------------ <br /> - <br /> ------------ <br /> THE APPLICANT IS: (circle one) <br /> cOrN ZIP: <br /> OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: <br /> (work) <br /> PHONE: (home) 3 ---A <br /> NAME OF OWNER: <br /> MAILING ADDRESS: Cl��lf <br /> CITY: I( � 1' + ZIP: � .3 <br /> PHONE: <br /> CONTRACTOR: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> STATE LICENSE: # <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAILING ADDRESS: <br /> —> CITY: ZIP <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration__ <br /> PROPOSED WORK (describe in detail) : Y <br /> ISI�JYI IN A�1 E t1,� <br /> / <br /> tn- <br /> STORIES:_ SQ. FEST OF EACH FLOOR: <br /> GARAGE STALLS: ATT. DET. <br /> NO. OF BEDROOMS:_,__ , <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> T hereby apply for a building permit and I acknowledge that the informatic <br /> above is complete and accurate; that the work will be in conformance with th <br /> d codes of the City and with the State Building Code; that <br /> ordinances an <br /> it and work is not to start without a permit; an <br /> understand this is not a perm <br /> that the work will be in acc dance with the approved plan. <br /> DATE: <br /> APPLICANT'S SIGNATURE: <br />