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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: <br /> Total <br /> Fee: <br /> Date Approved: <br /> Entered By: Permit 4 <br /> ATT INFORMATION MUST BE SUBMITTED IN F= BEFORE PLAN REVIEW WILL BE STAR <br /> (See Check-off List Enclosed) <br /> ----------------------- --- - <br /> THE APPLICANT IS: (circle one) .ONNER 'or CONTRACTOR <br /> ZIP: <br /> el) `f <br /> JOB SITE ADDRESS: S)V5 <br /> (work) � � 7 <br /> PHONE: (home) 7 72 <br /> �: <br /> NAME OF O <br /> CITY: ZIP <br /> MAILING ADDRESS- <br /> CONTRACTOR:- <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> STATE LICENSE: <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP' <br /> M,p,ILING ADDRESS: (f <br /> REGISTRATION <br /> NAME: <br /> Accessory Structure Move <br /> TYPE OF WORK: New Addition Land Alteration <br /> Demo <br /> Remodel/Alteration Renovate <br /> PROPOSED WORK (describe in detail) : - _ SCJ/C <br /> -�$Lc�i9 <br /> tE Aon r <br /> STORIES: SQ. FEET OF F.BCH FLOOR: <br /> NO- OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> • : <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) $ <br /> I hereby apply for a building permit and I acknowledge that the information <br /> that the work will be in conform w±th <br /> above is complete and accurate; permit; and <br /> '-h the State Building <br /> ordinances and codes of ermitiand and <br /> not to start without a p <br /> understand this is not a p <br /> that the work will be in acc dance wi the approved plan- <br /> DATE: <br /> TURE: �. <br /> APPLICANT'S SIGNA <br />