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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: <br /> Total Fee: $ <br /> " Date Approved: ' <br /> Entered By: Permit a: <br /> 'f ALL INFORMATION B$ SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------- ----circle one)--------OTINER or--------------------------------------- <br /> THE APPLICANT IS: <br /> Ll <br /> JOB SITE ADDRESS_ ��� N <br /> c �� ZIP: <br /> (work) <br /> rPHONE: (home) <br /> NAME OF OWNER: �V-l� � �`-�ca �S / <br /> MATTING ADDRESS: <br /> ✓V N � s�� �c� CITY: ,�•-�- _ ZIP: <br /> A !\`�` PHONE: <br /> CONTRACTOR: /� t"u-s � �' <br /> ZIP: 22 <br /> MAILING ADDRESS: <br /> STATE LICENSE: <br /> PHONE <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP <br /> MAILING ADDRESS: <br /> REGISTRATION a <br /> NAME <br /> Structure Move <br /> TYPE OF WORE: New Addition Accessory Land Alteration <br /> Demo Remodel/Alteration Renovate <br /> LA-61-1 <br /> PROPOSED WORK (describe in detail) : Cu-S <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ES'1'114ATF.D 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 w that I <br /> ordinances and codes of the City anh the <br /> d 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 accor ce with the approved plan. - <br /> E DATE: <br /> APPLICANT'S SIGNATURE: <br />