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' CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ "' �� ` ` Date Received: ���j��3 <br /> , � Date Approved: <br /> Entered By: ' �('%" . - <br /> Permit�: �'-> !% <br /> AT•T• INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WILL BB STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> 2'HE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: lz�a Ro�� Point Road ZIp=�,�tia <br /> (work) ��Q-��nn <br /> N�ME OF OWNER: �rge R. & Theresa A. Bloom PH�NE: (home) q��_�c��ti <br /> MATZING ADDRESS: 1374 Rest Point Road CIZ'1'= Orano ZIP= ;5��d <br /> CONTRACTOR:Concrete: Saviola Constn��i-ion - C'arr,�ntrv� � p$��=��r�,�,�•� <br /> — _ � <br /> MATLING ADDRESS: 19411 Rpchester St. I�TE CI�'�'�: Bethel ZIP= 55011 ____ _ <br /> STATS LICENSE: $ 4637 <br /> ARGHITECT/ENGINEER: Not apgl i ca�l e P$��= <br /> MAILING ADDRSSS: CITY: ZIP: <br /> A7�: RBGI STRATI ON � <br /> TYPE OF WORK: New �S - Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land A teration <br /> PROPOSF•D WORR (describe in detail) : Construct 26'x22' qaraae w/b�semPnt -1L1�n, rA�,,,;i�� <br /> StE��S t0 Zd}'2 to reduce around COV2Y' 111 aCCOrc3�nc'�P [�i th vari anrp <br /> STORIES: 1 SQ. FEST OF EACH FLOOR: �'72 - <br /> NO. OF B$DROOMS: na GARAGS STALLS: ATT. DET.�_ <br /> ESTIMATED CONSTRIICTION VAI�IIATION (eacluding Iand) : $1 S,600 <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wor3c will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that 2 <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work wil 1 be in accordance with the approved plan. . <br /> � � � <br /> APPLICANT'S SIGNATORE: ���1� � �'1 DATE: E� f � <br /> �� 7ig � <br />