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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit <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) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: <br /> (work) <br /> NAME OF OWNER: /i l�t^�yl r•, �: ��.��. t ` %,' + > r° =,`� /L- 'PHONE: (home) <br /> MAILING ADDRESS: - `,:� �� /CTYt ZIP: <br /> f �- <br /> CONTRACTOR: ;� . �' ° N� � PHONE:, <br /> .w, <br /> MAILING ADDRESS: 3 L3 M C'� ;,'. CITY: ZIP: <br /> STATE LICENSE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION r <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration__ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ip f7L, ✓rpt i i k� i ��,' i C'' Ii%"�i <br /> /A'/ r'A <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> :40. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> 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 /> ;rdinances and codes of the City andwith the State Building Code; that I <br /> ;nderstand this is not a permit and work is not to start without a permit; and <br /> =hat the work will be in accordance with the approved plan. <br /> 'iPPLICANT'S SIGNATURE: / DATE: i <br />