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f <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �>'): . �'C. Date Received: ,j/ /4- `1� <br /> Date Approved: <br /> Entered By: .�'�� <br /> Permit v: <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) OWNER o CONTRACTOR <br /> JOB SITE ADDRESS: -3/S F h k w a ZIP: .5.s 3 54. <br /> (work) <br /> 14AME OF OWNER: Fran l; f /� c1{�T ,r�c n n e PHONE: (home) x/ 3- 5 G 76. <br /> MAILING ADDRESS: � /6_ 7;;n A-A 1114 CITY: O ZIP: 55-2,51- <br /> CONTRACTOR: <br /> 5CONTRACTOR: 3 c n NO h'1 e- 4, Sn PHONE: 'l��S -Q S y8 <br /> MAILING ADDRESS: /h c r c- !'kw V CITY: /�Y)r q ZIP: 55 3o s <br /> STATE LICENSE: Ooo //S6 <br /> ARCHITECT/ENGINEER: D/i/ c c ,SG/ m;f-- PHONE: �7G <br /> MAILING ADDRESS: 3 /c� 9a / ✓ AyG So CITY: Wo V�gw 0�Q ZIP: .5S 319 <br /> / <br /> NAME: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> i <br /> PROPOSED WORK (describe in detail) : F// i „ Afr;dm �� add Seorw9 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> or <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ y��0oe <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 /> DATE: <br /> APPLICANT'S SIGNATURE: <br />