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CITY OF ORONO '- BIIILDING PERMIT APPLICATION <br /> Total Fee: $ Y7 Date Received: <br /> Date Approved: <br /> Entered By: -5- 3 � � <br /> Permit#: <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) OPTNER or CONTRACTOR JJ // <br /> JOB SITE ADDRESS: L� ' ZIP: .� � -V <br /> - <br /> JOB <br /> (work) <br /> NAME OF OWNER: ,,/���G����- PHONE: (home) <br /> MAILING ADDRESS: 0�22/1Ji -!!!!5 '�i�, CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> i <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: aZ SQ. FEET OF EACH FLOOR: /4-5-r� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ a2 �1�e�� <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 with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> i <br /> APPLICANT'S SIGNATURE:1z <br /> DATE: 7 <br />