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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: ,': Q(A1� � <br /> Permit tt <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: B(Do i • aa in ZIP: <br /> (work) <br /> NAME OF OWNER: Q-1Gfr/w1Z� <br /> PHONE: (home) <br /> MAILING ADDRESS: c �' ' �T/�'1h CITY: l�i Y�/tJ ZIP: <br /> CONTRACTOR: <br /> PHONE: �j-6,:,7-_2q e6' 1 /7 <br /> MAILING ADDRESS: 01 /17 CITY: f4,7-V V 0 ZIP: <br /> STATE LICENSE: '# <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteratio.�C Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : /ZC;C— WC1010 <br /> � -►� 6 ►nom l�,,. C (-tU n sof t�,� C-e/ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> J � <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 /> W r3 �i <br />