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CITY OF ORONO - BUILDING PERMIT APPLICATION (� <br /> Total Fee: $•. US-, y j Date Received:/ C,D ` <br /> pp�� �� Date Approved: <br /> Entered By: • /"•`'`1 <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: <br /> L C<yc` CL ` �I \,C`\ ZIP: <br /> (work) <br /> NAME OF OWNER: OA \--T \ t «��` 1 I. <br /> ( PHONE: (home) (,-.`«�r�kE= <br /> MAILING ADDRESS: I ` ,}./ 1')( t \ 1\ C 'VA(CITY: L. i c_:. I Z ZIP: <br /> CONTRACTOR: 1 )\,c ) E_.•A( 1;A1C PHONE: L-01 C- ,) I I <br /> MAILING ADDRESS: & :)-ci C 1 = S` - CITY: /9--v K•`. ZIP: S-5-.?(13 <br /> STATE LICENSE: # (O7 <br /> ARCHITECT/ENGINEER: C1- 1--k 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) : 7) Li CSC_ [L�- o v(:.i,,`r <br /> p <br /> STORIES: SQ. FEET OF EACH FLOOR: IJ k' IO <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> co <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ "lac_ <br /> 1 <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 /> APPLICANT'S SIGNATURE: "� DATE: /(' <br />