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CITY OF ORONO - ByLDTNG PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> 3G <br /> Date Approved: <br /> Entered By: (-Z-L) Permit#: ()--7k/ <br /> ALL INFORMATION MUST BESUBMITTEDChe -IN off FULLBG BEFORE P� REVIEW WILL BE STARTED <br /> (See <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: >/e O GL) CSG( - ZIP: 1/43-6-3 <br /> (work) <br /> NAME OF OWNER: PHONE: (home) <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: <br /> 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) : lc N ✓ ,,,/7 (;/Avc J AKA/./k <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 /> APPLICANT'S SIGNATURE: c x� �-- DATE: <br />