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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: 13 <br /> Date Approved: <br /> Entered By: <br /> Permit <br /> ALL INFORMATION MOST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or(CONTRACT-O� <br /> JOB SITE ADDRESS: LOT G� , (,�/ /YO�� ZIP: <br /> j-41 (work) <br /> NAME OF OWNER: i 4IZ 4 P( E;FMA41� PHONE: (home) <br /> MAILING ADDRESS: 7ij�/UGP6kI ("' (�G CITY: h/IDDG.tal� ZIP: <br /> CONTRACTOR: 6v • PHONE: Gl7js �JBZ <br /> MAILING ADDRESS: L4Mt.VL4\j t>(L. #hDO CITY: eVit,14 ZIP: <br /> STATE LICENSE: QQQ ZQ(pt.� <br /> ARCHITECT/ENGINEER: J• LS M�L'� 4!,�o PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: Newer_ Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : NOOt7 FIZ4 -Ke, , g(1�(1(i c ( (.,Y <br /> STORIES: ' SQ. FEET OF EACH FLOOR: MAI D v 3 I V. 0 LOW S°0 2,60(,o <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. Y 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; 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 /> APPLICANT'S SIGNATURE: Com- ' a '' ' _. DATE: <br />