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• ' , �' CITY OF ORONO" - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ � `�'�,�'.�3 � Date Received: � <br /> Date Approved: <br /> Entered By: i�;�✓ A. ��Gs <br /> Permit„• <br /> AT,T• INFORMATION MIIST BE SIIBMITTED IN FIILI� BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Encl.osed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circl.e ane) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: Lor Lo B�o��e ¢ Suc-,a-z. In/«�as ZIP: <br /> Zt10 SUC�f�2woo�ps '0�2 <br /> (work) �3 /-3/S3 <br /> NAML OF OWNER: C,�-n rz�E s <' u D a Co , PHONE: (home) �l•fF • <br /> MAILING ADDRESS: /S O 2 Inlcn D DR-z.E D�2. CITY: �,�/oo D 3 U�2� Z IP: SS�2 S <br /> CONTRACTOR: S,4-M � PHONE: <br /> MATI,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: � Ooo 3945 <br /> ARCH2 TECT/ENGINEER: S a-,,,, E PHONE: <br /> MAILING ADDR.$SS: CITY: ZIP: <br /> NAME: REGISTRATION � <br /> TYPE OF WORR: New_� Addition Accessory Structure Move � <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : S�-re �,J o 2�� , �o u�,o ar�r-�o a a ����,c s , Pw��� �N U ,� <br /> ��ATitilC � �l_�G'r-2�CFrL�} �'�Sul.rkTro�J i GYPSUM . �2R-nni�C-, F�ti1FEl� <br /> / <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: I srr'�R 2442� / I� . f>oa.cH� Z'Fi,R 1190� <br /> . <br /> NO. OF BEDROOMS: d- GAR�GE STALLS: ATT. 3 DET. <br /> o� <br /> ESTIIKATED CONSTRIICTION VALIIATION (ezcluding land) : $ 2 B�44 o <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 Buil.ding 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 with the approved plan. . <br /> APPI�ICANT'S SIGNATURE: ��� /.��Q DATE: ¢ Z <br />