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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: Permit n: ' <br /> ALL INFORMATION MUST BESCheck-off <br /> UBI SUBMITTED <br /> L BEEFFOORREESPLLA)N REVIEW WILL BE STARTED <br /> (See <br /> TEE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: //3/ lit/i/lie..//" S /per 7 ZIP: <br /> (work) <br /> / / 6'/,////0/7 <br /> NAME OF OWNER: / <br /> MAILING ADDRESS: SA/7) e- <br /> CITY: ZIP: <br /> //�� f ��e- 74l h l PHONE: 7J 3 a - <br /> CONTRACTOR: �Z�n e A �CJ�'O-S� `-'U dl U -�//J�G;, <br /> / (/( , CITY: Sid9/-1Gt.4 ZIP: <br /> MAILING ADDRESS: [J <br /> ��// ���p�/ /� <br /> STATE LICENSE: # 40003, -A- / <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration j/ Renovate Land Alteration <br /> �,L <br /> PROPOSED WORK (describe in detail) : �Sl��/D1c�art/ Ze4,4Gt./ / as C 4?`se <br /> / 4 la2ii <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 /> I <br /> h <br /> ordinances and codes of the City and with the State Building Code; <br /> that and <br /> understand this is not a permit and work is not to start without a permit; <br /> that the work will be in - r nce with the ap oved plan. <br /> /s <br /> APPLICANT'S SIGNATURE: / d' //f< ,(Az DATE: <br /> deZ9 <br />