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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> / • �� Date Received: d?/.Lfl�� <br /> Date Approved: 9 ' (q ' `? <br /> Entered By: * r <br /> Permit#: G>`f5y <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: ZIP: 575 3 5 I q <br /> (work) <br /> NAME OF OWNER: ` PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: <br /> ojAL�i�M .�caw Wl 1 I e PHONE: 14-74- 4 1(G�., <br /> n <br /> MAILING ADDRESS: �S �G'� 2 CITY. ZIP: <br /> STATE LICENSE: $ j5 O/ <br /> ARCHITECT/ENGINEER: S PHONE: 12A -C44r <br /> r <br /> MAILING ADDRESS:. 2k CITY: 1" U'Llj� ZIP: 155 <br /> Nor: 1-� SP&jCQL REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory StructurA—eration Move <br /> Demo Remodel/Alteration Renovate Land <br /> PROPOSED WORK (describe in detail) :T115 N N-Aj ��:= '' 6fty <br /> SLI I(,D N-ri� Srto I C) <br /> STORIES: SQ. FEET OF EACH FLOOR: � 5-7t, <br /> Z' S <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. _ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <30Dew. 0 D <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 <br /> understand this is not a permit and work is not to start without a permit; a- <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE DATE:cl( <br />