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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: 1 1//Y/� <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: J0 Uv°L'�>T L- S ZIP: .4-57; <br /> (work) <br /> (c,g.Lcp`/edec PHONE: (home) q 7�1G07 <br /> NAME OF OWNER: <br /> MAILING ADDRESS: 3 8 ct We> I1f Si CITY: C)iOvo ZIP: 6-15'351 <br /> CONTRACTOR: NO i Y t C)W W L 72_ PHONE: <br /> MAILING ADDRESS: ` 1 1 1 CITY( d 12C)w'0 ZIP: _ c C <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: `itQ GI is 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) : 12/1150) 121AF= ,C 4t/S74LltO A •(,t,/AJaY 3 <br /> STORIES: SQ. FEET OF EACH FLOOR: iitU0C 0141447" 14.00I <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 3°50 0 i <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 /> •nderstand 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 /> �PLICANT'S SIGNATURE: f-H DATE: <br /> /off 1/441( <br /> .447 <br />