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• <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /s Date Received: <br /> Date Approved: <br /> Entered By: • <br /> ( �11' <br /> Permit#: '1 f r/ (p <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) CvER or CONTRACTOR <br /> JOB SITE ADDRESS: <0w C91 ve— %v'em .te- ZIP: <br /> /L (work) 7.24-'G"/ <br /> NAME OF OWNER: G C/7i- o! -J Q- PHONE: (home) W‘-/-O,2/0 <br /> MAILING ADDRESS: /0/ 9' 7 Ay-re )Y'• CITY: ZIP: 57573‘1, <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: 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) : -Sie c7// k ( /'s <br /> STORIES: / SQ. FEET OF EACH FLOOR: /c ) <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �szke. <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 accordanc- with the approved plan. <br /> NPPLICANT'S SIGNATURE: _/�%�PDATE: <3frA3 <br />