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it <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /' ,( � `� <br /> Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: %y= -/( ! <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 o • TRACTOR <br /> JOB SITE ADDRESS: P. 409 - <br /> 7 yI,/ ice_ ZIP: <br /> (work) <br /> NAME OF OWNER: (Yr 40P---V962/ LJ PHONE: (home) 1/.>/- 7 <br /> MAILING ADDRESS: 7C-97 � { -'� CITY: 0-Ai ZIP: <br /> CONTRACTOR: A PHONE: 55-3 00 <br /> MAILING ADDRESS: 5 70 v 11 iv, CITY: l� n-e-L. ' .ZIP: .57:.5-act / <br /> STATE LICENSE: # `-1--U CO <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 >e Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : l C <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ / ,2 ( S U U <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 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 /> r-/P - '�- <br /> APPLICANT'S SIGNA � " .----- . DATE: <br />