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� CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> �otal Fee: $ O �� � J�" Date Received: <br /> n Date Approved: <br /> Entered By: �� � <br /> Permit�: ���(O y <br /> AT•T• INFORMATION MIIST B$ SDBMITTED IN FIILL BEFORE PLAN RE�7IEW WILL B$ STARTED <br /> (See Check-off List Encl.osed) <br /> APPLICANT IS: (circle one) 0��1NER or ONTR.A <br /> �E CTO <br /> JOB SITE ADDRSSS: /7D4 -��mrc /i�n c. �r��✓t• ZIP: 5.33 9 � <br /> (work)�3 7- �9D/ <br /> NAME OF OWNER: Sr w� n ,.��'�a �s�. PHONE: (home) <br /> MAILING ADDRESS: /70D --y`�io �c /i�nc�. �i' CITY: _%�r��n ZIP: SS3�1J <br /> CONTRACTOR: ..J c n s c n ��rr� G � jn c� PHONE: y,,S�D.S'YB <br /> LKAILING ADDRESS: GD/ � a /r .�i�oi-e- f�'wv CITY: �.�k�i ZIP: �-,5 3os <br /> > STATE LICENSE: # DDO - //-$G <br /> ARCHITECT/ENGINEER: � S a.r�e. .v 5 C o n�I"4c'�ar� PHONE: <br /> MAII,ING ADDRSSS: CITY: ZIP: <br /> N��: REGISTRATION � <br /> TYPE OF WORR: New Additian � Accessory Structure ✓ Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : a�v�✓ �7e+s�-s� — <br /> STORIES: +� SQ. FEET aF EACH FI+OOR: /73 � <br /> NO. OF BSDROOMS: GARAGE STAI�LS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ 3S 4 <br /> I hereby apply for a building permit and I acknawledge 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 2 <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 with the approved plan. • <br /> APPLICANT'S SIGNATURLT: DATE: /f-,?9-93 <br />