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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: , � �1 <br /> Perini t <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 r CONTRACTOR <br /> JOB SITE ADDRESS: 026TZIP: SS.3sC <br /> (work) 4lb- 921`Z <br /> NAME OF OWNER: ' ��� PHONE: (home) <br /> MAILING ADDRESS: �6 g 7 �' CITY: ���i'Ly ZIP: <br /> CONTRACTOR: PHONE: 7az - 3 g Y <br /> MAILING ADDRESS: I%/4// .j�o d/ N e- wCITY: jJ7�v ZIP: <br /> STATE LICENSE: z <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) : � �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> LSTIMATED CONSTRUCTION VALUATION (excluding land) : $ 4100.b6 <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 /> L <br /> APPLICANT'S SIGNATURE: '/ ' �jt/L� DATE: <br />