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CITY QF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> Date Received: ��A,5 <br /> Date Approved: <br /> Entered By: :1 <br /> Permit#: J / <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 CONTRALTO <br /> JOB SITE ADDRESS: i L Be-A Lh (� r <br /> ZIP: � <br /> �/Y� 1,, `1 �1 n(� <br /> (work) <br /> NAME OF OWNER: 1 n i Cr \ A ` ' / '� 10� I S PHONE: (home) <br /> MAILING ADDRESS: -.%L��!� L I rQ ���AC_� �1l CITY: zy n ZIP: <br /> CONTRACTOR: �OS-�c ��c,�S PHONE: LI <br /> MAILING ADDRESS: S�`1 S�ne (nc, 2 CITY: f <,SA ZIP:,S5s3 q <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ' �( �� f DEC <br /> SCh <br /> STORIES: SQ. FEET EACH FLOOR: <br /> NO. OF BEDROOMS: -RAGE 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 the approved plan. <br /> APPLICANT'S SIGNATURE: �'( Qah�J" \ DATE:/n— Cj3 <br />