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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ;;'5 Date Received: ) <br /> Date Approved: <br /> Entered By: ' (/ <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 <br /> JOB SITE ADDRESS: 9 Iv, poi r Ti .tZIP: f",5 36 y <br /> (work) <br /> NAME OF OWNER: / �e,Eit go /CA-VA4 �.� <br /> - PHONE: (home) %77- 32 <br /> MAILING ADDRESS: /% j /v/lehejr✓l" r. CITY: aleH4'2 ZIP: 5-5-"36/ <br /> CONTRACTOR: G hvlc it PHONE: y72.- J .f <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 Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : /1447%,9,11 el/ dire", <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 3'7c'c GG <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: /1;(---ret 3' E������-� DATE: ,�//....!/ ,3 <br />