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CITY OF ORONO - R ILDING PERMIT APPLICATION <br /> Total Fee: $ ��O '�� Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit A: -3 l� <br /> ALL INFORMATION MUST BE SUBMITTED FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-o f List Enclosed) <br /> ----------------------------------- -------------------------------- <br /> THE APPLICANT IS: (circle one) 01 ER or CONTRACTOR <br /> JOB SITE ADDRESS: v U U CV L /W /U ZIP: 553,51( <br /> ormo MAl ra53�4! (work) <br /> Z/LC / <br /> NAME OF OWNER: Ro e V t n 616 IN U PHONE: (home) y Z4,_?,Z (e <br /> MAILING ADDRESS: yeti Dlc�Cy�, 7k,/13"] d CITY: �Ci 1-&iZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHI TECT/ENGINEER: /a � ' � PHONE: `�® 7�I l <br /> MAILING ADDRESS: ' tt!a 7if -h CITY:Chi ii h05�5ei, ZIP: ff a/,7 <br /> NAME: REGISTRATION # <br /> RK: New Addition Ali Accessory Structure Move <br /> TYPE OF WO <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : W, � <br /> STORIES: SQ. FEET OF EACH <br /> NO. OF BEDROOMS: GARAGE STALLS- ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (escl ding land) : $ <br /> I hereby apply for a building permi and I acknowledge that the information <br /> above is complete and accurate; that he work will be in conformance with the <br /> ordinances and codes of the City an with the State Building Code; that I <br /> understand this is not a permit and w rk is not to start without a permit; and <br /> that the work will be in accordance wi h the approved plan. <br /> APPLICANT'S SIGNATURE: I DATE: - � <br />