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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total . .a: $ Y„2/07q5 Date Received: <br /> Date Approved: <br /> Entered By: 1 permit j ? 14, <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: ZIP: <br /> o <br /> (work) g65--x969 <br /> NAME OF OWNER: - PHONE: (home) - C. 3 (. <br /> '� <br /> MAILING ADDRESS: CITY: ZIP: _ <br /> CONTRACTOR: 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 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) : $ <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 />