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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit1r: <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) O NER or CONTRACTOR / <br /> JOB SITE ADDRESS: (O 0 Cr 5��� "�` I ZIP: <br /> (work) <br /> NAME OF OWNER: Or'G it t 2 S IDPHONE: (home), � r� I ` <br /> CITY: -[�1Lct �'�+ 4- ZIP: <br /> MAILING ADDRESS: <br /> s <br /> CONTRACTOR: ) 1 CaLl e 5 L_ PHONE: `► 7 <br /> MAILING ADDRESS: Drake �r ► ✓¢: CITY: <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) : 12 S ` b + )F?_ ,I ITS <br /> 11 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 4 <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 /> DATE: <br /> APPLICANT'S SIGNATURE: <br /> / - <br />