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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ G' / Date Received: <br /> Date Approved: <br /> Entered By: Permit#: I V <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> _ ------ ----------------- <br /> _ ___ _ ------- <br /> ---------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ( � L� YZ/d L6 ZIP: <br /> (work) IL2 -26 <br /> NAME OF OWNER: �j��� C PHONE: (-Tcme•) <br /> MAILING ADDRESS:off( /�S' w/�Yr ZA��A-- (3L,) _ CITY: "-pA)0 ZIP: sS3S(c <br /> CONTRACTOR: �� lrC o ®sr� „�G� St (� �1i PHONE: <br /> MAILING ADDRESS: I5515- 31"-4 40, ,,L)o L CITY: vu &l ZIP: SSYy <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) : <br /> ZSc� + 1 R 1 1 <br /> 1 L A O=ZZ,z <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 s not to start without a permit; and <br /> that the work will be n corda e ' th the approved plan. <br /> APPLICANT'S SIGNATURE::'' DATE: <br />