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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ _57 ,? Date Received: /7/3J9„5 <br /> Date Approved: <br /> Entered By: -GA Permit: ' <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: //t6 ,J///o'"'J ) ..Sc'`4 '1,, ZIP: <br /> (work) 887- 3-3 23 <br /> NAME OF OWNER: 7 <// /l/ <z� :5 �` /is° 'J PHONE: (home) y76 z 8CoTr- <br /> MAILING ADDRESS: <br /> /1.L0 vL. CITY: 0rc1^/c? ZIP: <br /> CONTRACTOR: „5:, ,/ -t' PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: SSIF 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) : 42)D Sc., <br /> STORIES: / SQ. FEET OF EACH FLOOR: 70 .S /41- <br /> NO. <br /> NO. OF BEDROOMS: ,J /A- GARAGE STALLS: ATT. /04- DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /O00 <br /> 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: 7/// /f's <br />