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CITY OF ORONO - BUILbINGOPERMIT APPLICATION <br /> Total Fee: $ �O Date Received: -. � '1-� <br /> Date Approved:/- <br /> Entered By: lu Permit#: 7D( 1 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: TJX ZIP: <br /> Nyk4 (work)NAME OF OWNER: PHONE: (home) ' <br /> SAILING ADDRESS: 'W1� �� 1C/vv �� CITY: Ovor\o ZIP: <br /> CONTRACTOR: NA ow N . IV�C� �4LTJ jAJA P/(LI PHONE: <br /> MAILING ADDRESS: �U�� 4\0,11AA AVC- CITY: De ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ty�}-\ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : cj'ey GiA ly-1 �C av\ ,rl r <br /> r <br /> vow- <br /> 1AqW 1,-Or �Qm ComeA rd, irgay.—') � <br /> STORIES: SQ. FEET OF EACH FLOOR: v.,U S V7WL iVV �^ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 11 (fN - - <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 Ajd DATE: <br />