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m <br />CITY OF ORONO - BUILDING PERMIT APPLICATION <br />Total Fee: $Date Received: <br />Date Approved: <br />Entered By: ‘Permit #: <br />ar.T. information MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br />(See Check-off List Enclosed) <br />THE APPLICANT IS: (circle one) ^^‘-^^OWNEg^r CONTRACTOR <br />JOB SITE ADDRESS;ZIP: <br />(work )Q3./-7/64 <br />________________ PHONE; (home) <br />MAILING ADDRESSs 0^0/7 ClTY:^V/{yZ^______ ZIP; SS'^^------ <br />NAME OF OWNER £.OajAJ^A/fSJSA <br />CONTRACTOR;PHONE <br />!iAZLING ADDRESS:CITY ZIP: <br />STATE LICENSE: # <br />ARCHITECT/ENGINEER <br />MAILING ADDRESS:_ <br />NAME: <br />PHONE: <br />CITY:ZIP: <br />REGISTRATION <br />:TPE of WORK: New V <br />Demo V <br />Addition <br />Remodel/Alteration <br />Accessory Structure ^ Move^ <br />Renovate_ _ _ Land Alteration_«I <br />TORIES:SQ. FEET OF EACH FLOOR: <br />;0« OF BEDROOMS:GARAGE STALLS: ATT.DET. <br />'STIMATED CONSTRUCTION VALUATION (excluding land) : $ <br />A <br />rCoo <br />:rdinances and codes of the City and with the State Buxlding Code; that I <br />:nderstand this is not a permit and work is not uo start wxthout a permxt; ana <br />hat the work will be in accordance with the approved plan. <br />PPLICANT * S DATE: <br />t vr-r* * _