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x CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee• $ Date Received: <br /> Date Approved: <br /> Entered By: ' ��I� Permit#: �P 7 <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: --------(circl1e'' one) OWNER o CONTRALTO <br /> JOB SITE ADDRESS: Z7Z.5 W#lyz,4-zX L«D , ZIP: <br /> 946- (work) <br /> NAME OF OWNER: _ - PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: x,115L�O�tda'11 �-d/1 i 171/��� 69 PHONE: �50 B`�G <br /> MAILING ADDRESS: Z 1O5 W- �ll� V,D , CITY: RUD MSV/aE AAI, ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION tt <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : {Ct-1. yr- _VA <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 4Q0P <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 />