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r lb. , CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: (c,/2._c-,1_ c v�� « ( ���T� ZIP: <br /> (work) <br /> NAME OF OWNER: L/2 � � � �`7-/ ' ,29ef,29PHONE: (home) <br /> MAILING ADDRESS: l 1() // ' L4 . ITY: / ✓` 4W6: /// ZIP: 1- -35T,W <br /> CONTRACTOR: Q� 711i � f� AC PHONE: 9-pc/`i/(jo <br /> MAILING ADDRESS: CITY: of C rr/i 4'ry ZIP: S �/s� 6 <br /> STATE LICENSE: # AIA <br /> /---/-17--c-11 Acts-- j"-c <br /> ARCHITECT/ENGINEER: /�o-ev1.7 4- 4:ro C PHONE: %�% c,7>'2!c <br /> MAILING ADDRESS: ,5 j J / %7t1,lJv f� CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : /'C'✓ O r c /24"W000 <br /> / �c,1 O <br /> STORIES: / SQ. FEET OF EACH FLOOR: /X,711'1:2_ /5 .4; /1n eel ,2 2/O <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> cw <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: DATE: /.47/!'6 <br />