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r+ <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: (' r`t permit tt: <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) <br /> OwN''E/R/ or CONTRACTOR <br /> JOS SITE ADDRESS: <br /> dr'/� 'e �- �� ZIP: <br /> (work) e/,2- <br /> PHONE: (home) <br /> NAME OF OWNER: AlW �" <br /> �w� <br /> p / /^ CITY: CUnv ZIP: <br /> MAILING ADDRESS: <br /> .� .,��s�'� _ PHONE: �S'�� /-;;;V/ <br /> CONTRACTOR: Oie' <br /> MAILING ADDRESS: <br /> /25 fT �j CITY: f�l'w c ZIP: <br /> STATE LICENSE: # S <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> REGISTRATION # <br /> NAME: <br /> Addition <br /> TYPE OF WORK: New 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; y h <br /> a dw work wi l <br /> with theState1 be lBuild ng C deW1th thatthe hI <br /> ordinances and codes of the City <br /> t and work is not to start without a permit; and <br /> understand this is not a permi <br /> that the work will be in accordance with the approved plan. <br /> DATE: <br /> APPLICANT'S SIGNATURE: <br />