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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> /75 C,. Date Received: <br /> Date Approved: <br /> Perini t a 0/ = <br /> Entered Bv• <br /> -- <br /> BEFORE PLAN REVIEW WILL BE STARTED MUST BE(See Che' k-off st Enclosed) <br /> TaE APPLICANT IS: (circle one) OWNER?or CONTRACTOR <br /> � / ZIP: <br /> JOB SITE ADDRESS: (work) <br /> PHONE: (home) z-`? <br /> NAME OF OWNER: l <br /> CI'T'Y: ZIP <br /> MAILING ADDRESS: 3f �- <br /> PHONE: <br /> CONTRACTOR: _. ZIP: <br /> CITY: <br /> MAILING ADDRESS <br /> STATE LICENSE: <br /> PHONE: <br /> ARCHITECT/ENGINEER: _ ZIP: <br /> CITY: <br /> MAILING ADDRESS <br /> REGISTRATION <br /> NAME: <br /> TYPEAddition Accessory <br /> Structure Move <br /> Demo <br /> WORK: New Land Alteration -_ <br /> Deemo _*n <br /> Reodei/Alteration Renovate Y <br /> • <br /> PROPOSED <br /> WORK (describe in detail) : /V e Lc/ `' /? ,' ( = <br /> • <br /> STORIES: <br /> SQ. FEET OF EACH FLOOR: 2- <br /> NO- <br /> -NO_ OF BEDROOMS: __ <br /> GARAGE STALLS: ATT. / DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding <br /> land) : $ <br /> permit and I acknowledge that the informati on <br /> I hereiy apply for a build ' ng - that e <br /> ' s complete and accurate; that the work will be in conformance with the <br /> above z and with the State Building permit; andI <br /> understando <br /> ndiatand codes of the City <br /> this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the approved plan. <br /> _ / DATE: <br /> APPLICANT'S SIGNATURE: - <br />