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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ � �f � � J Date Received: <br /> Date Approved: <br /> Entered By: ,P <br /> Permit A: LA , <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 CONTRACTOR <br /> ) <br /> JOB SITE ADDRESS: I"0 1_4P ZIP: <br /> (work) <br /> NAME OF OWNER: PHONE: (home) 14 7k V <br /> MAILING ADDRESS: 1 � NO/ 1 I��/'0�2 CITY: ®�'0n (� ZIP: <br /> CONTRACTOR: -��o/ L A Na SC A l�1 I✓C7 / PHONE: <br /> MAILING ADDRESS: 3700 C Q jq-eP 'C✓0 O i/� I CITY: (.e �1 O�l ZIP: S Y <br /> STATE LICENSE: A 0 18(0 C <br /> Federa l TO , 1 -7 333 ( G <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : C 0 h C 14 ru CT#'U r\ of C Q U ld e l' w a I/S <br /> r /-/- s <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ Q On <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 a proved plan. <br /> .J <br /> APPLICANT'S SIGNATURE: J214.0DATE: 3 _� - <br />