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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered Bv: <br /> Permit <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> `:NE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> 0r Pool0B SITE ADDRESS: �, ©O l-�t')t'? t l Q ZIP: 3-1/45-LO <br /> (work) <br /> F OWNER: � ,@C_��i ' � © �' PHONE: (home) <br /> NAME O C'� �1 Cf q <br /> MAILING ADDRESS: CD* ��►� I ,CITY: L(�. y '(ick O. ZIP: 15-3 / <br /> d <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: <br /> po T612_0.,.. 4m4i; ._L oa c, PHONE: 7 )3 . c%/ Y/ <br /> aRCHITECT/ENGINEER: C� i •v <br /> � <br /> � / Art l <br /> MAILING ADDRESS: Vc�c Y ac .c.ePcd�J�. CITY: LO-.a LLQ ZIP: Ss�� <br /> NAME: mav 2®«� E'cEcj REGISTRATION # <br /> TYRE OF WORK: New Addition Accessory Structure Move <br /> • <br /> Demo Remodel/Alteration Renovate Land Alteration y� <br /> PROPOSED WORK (describe in detail) : <br /> ;TORIES: SQ. FEET OF EACH FLOOR: <br /> AVO_ OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> E'STIMA'TED CONSTRUCTION VALUATION (excluding land) : $ <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 />':nderstand 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 /> ,� DATE: 9 c .c./14P <br /> 1.PPLICANT'S SIGNATURE' I <br />