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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered B f`i/ <br /> y' Permit n: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ---- --------------------------------------------------------------------------- <br /> THE APPLICANT IS: (/circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ( b�D CTTo,Z " ZIP: �� <br /> (work) <br /> NAME OF OWNER: - �v PHONE: (home) <br /> MAILING ADDRESS: O �J CITY: (5gzaYL , ZIP: -S-3 <br /> . nn moo?f,X80 <br /> CONTRACTOR: �l ( � PHONE: <br /> MAILING ADDRESS: CITY: J( �CTu"° IP: S <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 /> ED WORK (describe in detail) : j �- <br /> PROPOS ' <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 permit and work is not to start without a permit; and <br /> that the work will be i ccordance wi the approved plan. <br /> APPLICANT'S SIGNATURE. <br /> DATE: <br />