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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 7 -�� Date Received: <br /> Date Approved: <br /> Entered By: '4/U <br /> Permit V: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed)-------------------------------------------------------------------------------. <br /> TBE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 1;;13_6 � ZIP: SS3 <br /> (work)_47�-5202 <br /> NAME OF OWNER: D®� o /�� �C��� '� PHONE: (home)4;W <br /> :SAILING ADDRESS: I /Y• .��® AC CITY: lw®6i✓� - ZIP: <br /> CONTRACTOR: e- - PHONE: <br /> MAILING ADDRESS: /��'oy� CITY: ZIP: <br /> STATE LICENSE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION 4 <br /> TYPE OF WORK: New Addition Accessory Structure_ Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : FJ X 12 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> 120 lqevp <br /> NO. OF BEDROOMS: GARAGE STALLS: AT - <br /> ESTMKATED CONSTRUCTION VALUATION (excluding land) <br /> Z 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 /> ::nderstand this is not a permit and work is not to start without a Rermit; and <br /> .hat the work will be in accordance with the approved plan. <br /> ' PPLICANT'S SIGNATURE: - <br /> DATE: <br />