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CITY OF ORONO — BUILDING PERMIT APPLICATION <br />$ Date Received: <br />Date Approved: <br />Entered By:' <br />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: �. I -J-1 _ ZIP: <br />(work) <br />NAME OF OWNER: <br />PHONE: (home) <br />MAILING ADDRESS: �� CITY: �' ZIP: <br />CONTRACTOR: . 5. Zi7 e , e h a l� onJ 1 r� 1 a-�t(IL - PHONE : <br />^•TAILING ADDRESS: �4ZLe fl�,CITY: f ZIP: I: 2[10 <br />STATE LICENSE: ,-" ��' A s 1 <br />4 6 <br />ARCHITECT/ENGINEER: PHONE: <br />,.AILING ADDRESS: CITY: ZIP: <br />NAME: <br />REGISTRATION 1 <br />TYPE OF WORK: New Addition Accessory Structure Move <br />Demo Remodel/Alteration Renovate Land Alteration <br />' l <br />DROPOSED WORK (describe in detail): / ' G <br />STORIES: SQ. FEET OF EACH FLOOR: <br />NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br />r 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 />snderstand 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:� f <br />