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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 6A:11) Date Received: - <br /> Date Approved: <br /> Entered By: q1.1 <br /> Permit#: /41 <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: CZs IC)VQ 1Vcxj l&Ci ZIP: <br /> (work) <br /> NAME OF OWNER: 4 PHONE: (home) <br /> MAILING ADDRESS: P.J. CITY: las Jake_ ZIP: <br /> CONTRACTOR: ;,j1( PHONE: <br /> MAILING ADDRESS: Ali tcc L 7 CITY: - ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: � i vj / (/6 P-02' e � AM � 37S <br /> p/ <br /> MAILING ADDRESS: (oZ4 Cecievt_ �C: k'2 PJ CITY: 5 ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Y Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : DeCk w� <'c -�25 ws4er/' <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> O G . <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 w'th the appr ed plan. <br /> APPLICANT`S SIGNATURE: J — DATE. <br />