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~ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ "/ C� Date Received:4L <br /> Date Approved: <br /> Entered By: ' <br /> Permit#: <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: (circle one) OWNS or CONTRACTOR / <br /> JOB SITE ADDRESS: C��CII/.�c7' tS�✓�/ ZIP: ��yJ-6 <br /> (work) �3 <br /> 1AME OF OWNER: >e L P c 1 tC• PHONE: (home) <br /> MAILING ADDRESS: 3 3 % CITY: ZIP: <br /> CONTRACTOR: (,�/(�s �2 cr PHONE: <br /> MAILING ADDRESS: P08 r,C,�37 CITY: ZIP: ,�✓` S b• <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: p,5 <br /> PHONE: Ill)?-22= <br /> MAILING ADDRESS: 2r) An CITY= ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration y Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : A ,,,/ ZZA Urd�r�yrl .�tiA Ui 7 e� .�errr�y/�dQ <br /> i incl ui z)11s iv e A eIoSe �.3) o 1 'e i��✓ ����c <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 /> irdinances 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 />