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we CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ��` �;� /,, Date Received: 'l Date Approved: <br /> Entered By: '71h' 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) <br /> OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ( �YL%,/lL.7/�Si le/Z ZIP: <br /> � (work) <br /> NAME OF OWNER:/l 4 G'/ PHONE: (home)`/177 �� ? <br /> MAILING ADDRESS: 97 41 /4-9,1/Z CITY: . /(?./Z-419 ZIP: �;:5: 7' <br /> CONTRACTOR: 44 '(7 �e/ PHONE: 4 ? 5O 7 z <br /> MAILING ADDRESS: 77,3' ����y(/��'�� T /�,�'rn: ZIP: 5,e7e <br /> STATE LICENSE: # D4© /81( <br /> ARCHITECT/ENGINEER: / 0 :7 A7//V' - " PHONE: 77(1 '5 4C/ <br /> MAILING ADDRESS: CITY: /�./_Oeir l"/1� t(/ZIP: 575-4 2 <br /> /O 2 'd 1.}ere.44>tG.,- <br /> AME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> ��kr,Demo.V-- Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: Z SQ. FEET OF EACH FLOOR: 3/ Zoo <br /> NO. OF BEDROOMS: 6 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 SIGNA <br /> G✓'!'' c���t �'�� DATE: ZZ� I� / /G� <br />