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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ / a 3 0 , (1d Date Received: //1-119.Z_ <br /> Date Approved: <br /> Entered By: G <br /> Permit#: d l <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 br..CONTRACTOR <br /> JOB SITE ADDRESS: �,2 y div ��-chi ''' ZIP: <br /> (work) <br /> NAME OF OWNER: -Yfl(_40-1N-L.i PHONE: (home) �4-7 5,�i <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: CC z.. . PHONE:- -7�u -y 3-) 9 <br /> MAILING ADDRESS: y y c;C f -0 CITY: IV ZIP: <br /> STATE LICENSE: # Oce lei 1 <br /> ARCHITECT/ENGINEER: T)z S PHONE: W 3 y--7 94 L <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration 7- Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : c <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: 17cc <br /> NO. OF BEDROOMS: 5 GARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ i 1 , V <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 /> 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 /> =hat the work will be in accordance with the approved plan. <br /> IPPLICANT'S SIGNATURE DATE: '- <br />