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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ / 'I r Date Received: <br /> Date Approved: <br /> Entered By: La) <br /> Permit: _ 5�6p '/0 <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 or CONTRACTOR <br /> JOB SITE ADDRESS:. 801 ?©AIKAWA AD ZIP: <br /> (work) �f <br /> NAME OF OWNER: .b14W NWOA6 PHONE: (home) 4�1 • (8Z <br /> MAILING ADDRESS: SDI *_ bNX^Vj^ RD CITY: 40490N0 ZIP: <br /> CONTRACTOR: 1--AV.66106 *boL, ,AND SPA MN PHONE: 4_10-0?00 <br /> MAILING ADDRESS: 605S AIVIFAA L.N• CITY: eWjE 00 0- ZIP: SS33 ' <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: Bob AAUM 61D A%Q0AX5 PHONE: <br /> MAILING ADDRESS: 3(020 fVLM46 ,AVE S& CITY: ST. I-OC43 lox ZIP: SS yA <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: NewX Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 843ILD A 1ftN6L41 } - Chat.WTL LkWl AG x <br /> OUT 6it6 $SILT 'ED f jVnN6 SWtrAryjmC 'Poc L <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 07.500 <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: DATE: /D• /7 - f3 <br />