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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> t °I) ate Received: <br /> D <br /> Total Fee: $ � � <br /> Date Approved: <br /> Entered By: <br /> ) Permit#: <br /> ALL INFORMATION MUST BESUBMITTED <br /> FULL <br /> BEFOREL)N REVIEW WILL BE STARTED <br /> ( off ListEnclosed) <br /> THE APPLICANT IS: (circle one) OL E)or CONTRACTOR <br /> JOB SITE ADDRESS: <br /> ZIP: <br /> (work) `/`T--S-`ic(�/ <br /> NAME OF OWNER: PHONE: (home) 7?6, -/ '/ 3S <br /> � rGl l 1 <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: 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) : x <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 /> f DATE: <br /> SIGNATURE: 1�� �_c % -3 <br /> APPLICANT'S /L <br />