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1 CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $_A5 Date Received: <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) OWNER or (CONTRACTO <br /> JOB SITE ADDRESS: WAY2A7✓I G(_Q 0 ZIP: <br /> (work) <br /> NAME OF OWNER: `'/�K1/'r/f 0, PHONE: (home) <br /> --r <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: :� /-b PHONE: <br /> MAILING ADDRESS: ��zY�C S��' " L�F ll� CITY: ZIP: <br /> STATE LICENSE: u <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ t2 <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 acco e / ith the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��_ <br />