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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �� Date Received : <br /> Date Approved : <br /> Entered By: , <br /> Permit <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) WNE or CONTRACTOR <br /> JOB SITE ADDRESS: `� ex P0 L.aysi i= ZIP: 5J33 1 <br /> (work)12,5 <br /> NAME OFOWNER: D2�Vs. IV�LI /Efz-hAuTT- + PHONE: (home)�I� ('���"(�}�y <br /> MAILING ADDRESS:9,1 C ), V�1/ .._T E(�S �'c`�n CITY: iiz.-OLIt) WA ZIP:5533 i <br /> CONTRACTOR:'jQ14 'F PHONE: Ll 1 Z -� � 101 <br /> MAILING ADDRESS: a 5� �yds S �t co D CITY: Moo t'l0 ZIPS <br /> STATE LICENSE: # <br /> ARCHITECT . Ate,ML9_L t M`" t`rL"-k_4)-T PHONE: `i -I _9 M e6 <br /> `.AILING 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) : CCt- rs 7 iZ_0(_ SC_ice` i` J\4 i= D <br /> �C�R-c�4� U�•.l P t-\(L'i OF E��S i �y �E_�1L i`i i� ft(L- S T <br /> Z. C� T <br /> STORIES: SQ. FEET OF EACH FLOOR: 19 0 S C_ F i-L iZ r r O T",_ <br /> `i0. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <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 /> ;nderstand this is not a per . t d o k is not to start without a permit; and <br /> that the work will be in ac d c the approved plan. <br /> T <br /> APPLICANT'S SIGNATURE: DATE: 3 �`� <br />