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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permit#: J/r'3 Sr <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------- <br /> THE APPLICANT IS: (circle fo�n�e) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 3 `(o 3 O ` - ar+k e �-Vt OL ZIP <br /> (work) <br /> , rte- <br /> NAME OF OWNER: IT� Q S v C U r �t PHONE: (home) 7 <br /> MAILING ADDRESS: ste 'Q' CITY: ZIP: <br /> CONTRACTOR: PHONE <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MATTING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/AlterationRenovate Land Alteration <br /> PROPOSED WORK (describe in detail) : t_V_Jbi G C e- �1" ` (11 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> p0 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2,S_00 <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: <br /> DATE: <br />