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` CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee• $ ' `T Date Received <br /> Date Approved: <br /> Entered By: ' <br /> Permit#: :f qS'(} <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 /> ZA <br /> JOB SITE ADDRESS: L 660 � � <br /> VSE �" /?J ZIP: <br /> (work) <br /> NAME OF OWNER: rr M fwd- �? PHONE: (home) <br /> MAILING ADDRESS: 241 U l.0 �-�� 1'CITY: 1 �2 ZIP: <br /> CONTRACTOR: )1 L�7 ' '� PHONE: -4Z& --Woo <br /> MAILING ADDRESS: S-60 © a CITY: ZIP:_ <br /> STATE LICENSE: # '24 `ZlJ <br /> ARCHITECT/ENGINEER: OD CN PHONE: <br /> ,BAILING ADDRESS: CITY: ZIP: <br /> -,TAKE: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) <br /> STORIES: SQ. FEET OF EACH FLOOR:— <br /> NO. OF BEDROOMS: GARAGE 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 acc dance with the approved plan. <br /> DATE: <br /> APPLICANT'S SIGNATURE: �� N / <br />