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t <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: <br /> Total Fee: $ - <br /> Date Acuroved: <br /> Entered By: Permit : <br /> ALL INFORMATION MUST BE SIIBMITTED IN FULL BEFORE PLAN REVIEW WILL BE SMART.ED <br /> (See Check-off List Enclosed) <br /> TEE APPLICANT IS: (circle one) CONTRACTOR <br /> JOB SITE ADDRESS: t29C 0120 <br /> QaK S -T)2 . ZIP: 55 5(s <br /> (work) 333-2E19 <br /> _ fzDs..� PHONE: (home) 473 • 814t9 <br /> NAME OF OWNS: ��&� <br /> MAILING ADDRESS: 1 Z1G C UH K S <br /> CITY: l.cU� LAIC- ZIP: 5- 35-4, <br /> PHONE: <br /> CONTRACTOR: <br /> CITY: ZIP: <br /> MAILING ADDRESS <br /> STATE LICENSE: <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> REGISTRATION <br /> NAME: <br /> Accessory Structure Move • <br /> • <br /> TYPE OF WORK: New Addition Land Alteration <br /> Demo <br /> Remodel/Alteration Renovate <br /> PROPOSED WORK (describe in detail) : i C '1-ZD AJ <br /> STORIES: SQ. ear OF EACH FLOOR: <br /> NO. OF BEDROOMS: <br /> GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding <br /> 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 de;aithat I <br /> th the <br /> ordinances and codes of the City and with the State Building permit; and <br /> understand this be in accordance with the approved plan.d work is not to start without a P <br /> that the work will .. . <br /> APPLICANT'S SIGNATURE: %� <br />