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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee• $ 9`T�• 6 Date Received: <br /> ,> Date Approved: <br /> Entered By: Permit#: / <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclo <br /> ------------------------------------------------ <br /> ----------------------------------------- ---------- --------------------- --- <br /> THE APPLICANT IS: (circle one) OWNER o�CONTRACTOR <br /> JOB SITE ADDRESS: ,5 00 -7r'vNkAwA Rio, ZIP: S'S,3S6 <br /> (work) <br /> NAME OF OWNER: G L6AM) /►''�� l �'(N 1" PHONE: (home) <br /> MAILING ADDRESS: 47 ?'0A1kAWAj)qb CITY: OW OA)0 ZIP: <br /> CONTRACTOR:- ��QPJ6 l'1 E/y&C COI V OGTI U/%� IWC PHONE: 6_173- a/1 t?6 <br /> MAILING ADDRESS: /0209 10V6MA1%I LIV CITY: M IN.)(5A)06IS ZIP: 5,57,305" <br /> STATE LICENSE: 0 5-60-7 <br /> ARCHITECT/ENGINEER: TUM CLL,I S OIJ AA CIV/776a 06mYPHONE: 17 217- 2 ?a 0 <br /> MAILING ADDRESS: 2727 . g3n0 57. CITY: 141A/A)E,4&Lk� ZIP: <br /> NAME: & Al v C L-1014(�-E REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : SCo 00,Al? 6A aF 1Y vUS 6 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 80/ 000, <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: 1 4 �"� DATE: <br />