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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total. Fei: $ �`7� �co Date Received: <br /> Date Approved: <br /> • Entered By: ,��� <br /> Permit#: 96-,/-7 <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 ONTRACTOR <br /> JOB SITE ADDRESS: 2SC) Waue ►e�r� IZon,.p ZIP: rr,c�391 <br /> (work) <br /> NAME OF OWNER: 'F uL- i 14n-LC-..1 PHONE: (home) <br /> MAILING ADDRESS: ZFFo W ky t Ft ELm W32&o CITY: 4:51" ZIP: .551"011 <br /> CONTRACTOR: ALg,ijr_ PHONE: _5M_7j017_ <br /> MAILING ADDRESS : I ZDV 1 Pt7a,e6lcr ` buff CITY: �4�<ar.�wt. ►.1 ZIP <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : a►+A..l��,e �x��r� .-!� Qd��r�-1 . ��rrsl� <br /> -T"o �-SE.asn..► <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ I(ipp <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: 12 - Z _ bj� <br />