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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ S3 Date Received: <br /> Date Approved: <br /> Entered By: 9 <br /> Permitf: /q (p <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 one) 01gNER or CONTRACTOR <br /> JOB SITE ADDRESS: ��S ZIP: S 3 <br /> (work) 3 L((- log <br /> NAME OF OWNER: M(�C G� `� PHONE: (home) <br /> MAILING ADDRESS: <br /> �f (� CITY: C9r-o,.,;v ZIP: <br /> CONTRACTOR: S (h fi a 1 PHONE: Z <br />. � Lo.,;s 'G:. <br /> MAILING ADDRESS: �� dt� lc-AQ 51�� C TY: S� 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 /> PROPOSED WORK (describe in detail) : ��� ° 'f Rt fc—. G1 °�'� G 4 - <br /> G f1A <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. 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 toe approved plan. <br /> DATE: <br /> APPLICANT'S SIGNATURE: <br /> f. <br />