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a <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: ��/ <br /> Date Approved: p-G <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 /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR`TR <br /> JOB SITE ADDRESS: / f / ZIP: <br /> / 6 0 0 i, 1< <br /> / 6 6 (work) <br /> NAME OF OWNER: 6 y ii /, PHONE: (home) <br /> MAILING ADDRESS: ��0/2,� 4.4, ',L1-2_0 CITY: m arca.,,,,( ZIP: 6-15-3 & fG <br /> J , ,r = Co-6641.4. Uo- <br /> r <br /> CONTRACTOR: . 4 — 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 V Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : g.,-f 4-„ <br /> pg.,„.„... ---(...,4,,..10- <br /> 15._ <br /> _ 4....„.„,....7-f- <br /> -.1; : 171.1.1',7r -o4L,•uL <br /> ± & 'rg.,, <br /> . -—C <br /> G� I.r- io / et.! a. , . , : -- L <br /> ' / / -C?,:± ie:e:,,,tZCs [ a:- 0 — 442 <br /> , <br /> STO IEc: <br /> SQ. FEET •F 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: DATE: <br />