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CCI�TY OF ORONO - BUILDING PERMIT APPLICATION <br /> ZKotZ Fee: $ !�j�'7 Date Received: q-o2 -91 <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 /> --------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE or CONTRACTOR <br /> JOB SITE ADDRESS: -36Y6) Tall 13 or ZIP: <br /> J [ (work) <br /> NAME OF OWNER: �4 m e- f s S . Pe T e J,S PHONE: (home) Y7 ` COs <br /> MAILING ADDRESS: >& YD Tag CITY: 100 U'z u 7 G zip: 3 Tl <br /> CONTRACTOR: Li,, PHONE: <br /> MAILING ADDRESS: 2/// lSc PSC Rd CITY: A/ k4 ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : r P A la c ,'ti S/19 4 s ;/ee k A ro v n/ A,g <br /> 4 c e S S -{o -FrOA-4 do© T e,-( 1eus.e <br /> STORIES: SQ. FEET OF EACH FLOOR:- <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ '!>00" <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 with the approved plan. <br /> APPLICANT'S SIGNATURE: r!— �, � �C� 1 DATE: X75 <br />