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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> dotal Fee: $ /d Date Received: <br /> Date Approved: <br /> Entered By:�r j Permit n: _5q(0( <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------- ----------------------- <br /> ---------------- <br /> THE APPLICANT IS: (circle one) ( OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: Ll70S NaZIP: <br /> n II (work) <br /> NAME OF OWNER: �` v C r A` '� Q PHONE: (home) <br /> MAILING ADDRESS: �17C'S �1>� S �e�e ✓�''' CITY: ✓400, 0 A ZIP: SS3�7 <br /> II-- PHONE: Lr <br /> 79-l S I O <br /> CONTRACTOR: v V)�� I��4y� L xe.^ ����> n <br /> MAILING ADDRESS: �,�iGC� %f C, <_. / Z CITY: /''19 �e /' I w zip: -5-�35� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE. <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <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 withathl <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in acc r7ce with the approved plan. <br /> APPLICANT'S SIGNATURE: '- DATE: <br />