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• <br /> 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: 703 O#((J4 ( i4e Ci ZIP: <br /> (work) <br /> NAME OF OWNER: Mar/ 6r7i, /?ki'" PHONE: (home) <br /> MAILING ADDRESS: 70 ) V/C AA Let AI CITY: (2‘e0/U(.) ZIP: <br /> CONTRACTOR: i/C611 tf(// J .C/L/C • PHONE: /N y` -2 7 6 <br /> MAILING ADDRESS:/903 Aritn t' Ek , CITY: 4`'sjr_SV;(. t-C ZIP: C 5•3 <br /> STATE LICENSE: # &q44 <br /> ARCHITECT/ENGINEER: CA,..4.13. S PHONE: " <br /> MAILING ADDRESS: 54-7/1e CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition AccessoryStructure Move <br /> Demo Remodel/Alteration RenovatLand Alteration <br /> PROPOSED WORK (describe in detail) : dec)c... f r <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: V� ' �-� DATE: /0/2 2-/5"? <br /> OK <br />