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ti <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ C , D Date Received: <br /> Date Approved: <br /> Entered By: 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) OTINER or CONTRACTOR <br /> a <br /> Jos SITE ADDRESS: 018 ®�� ZIP: SSaS9 I <br /> pp _� (work) <br /> NAME OF OWNER: PHONE: (home) <br /> MAILING ADDRESS: Sante CITY: ZIP: <br /> CONTRACTOR: +�k 5� ce �S^" , PHONE: 4?4 - <br /> MAILING ADDRESS:4,4 oo CITY: M o ZIP: <br /> STATE LICENSE: # t),DO S 4 9 2 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> Nom: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate ✓ Land Alteration <br /> PROPOSED WORK (describe in detail) . .�. �+ ori `K'1 12521 <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 1a00 Ob <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 acc rdance with the approved plan. <br /> n <br /> APPLICANT'S SIGMA DATE: 2-- <br />