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CITY OF ORONO - BUILDING PERMIT APPLICATION /� <br /> Total Fee: $ _ L57. 55-} Date Received: o' l % - 9L <br /> Date Approved: <br /> Entered By: v <br /> Permit#: 4/_%6 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (c'rcle one) OWNER or(CONTRACTOR) <br /> 3 ' <br /> JOB SITE ADDRESS: S 0s S SX ZIP: <br /> (work) TA - TM <br /> NAME OF OWNER: Wicli A-rb (K4 4)L ) PHONE: (home) 4/73 -mi <br /> MAILING ADDRESS: ?j# Y5 syssE C CITY: Z.42v-2.4ZIP: 35e, <br /> CONTRACTOR: /i/ 3/oS . T.�'3 7/1/S A)C-Si PHONE: 6,38"--73e.; <br /> MAILING ADDRESS: 5&)/ r 4A Ia / ' CITY: PIT / inn - ZIP:553 � <br /> 7 <br /> STATE LICENSE: # 6Y8 9-287 <br /> ARCHITECT/ENGINEER: /97/417( vv/?'7i 7 PHONE: 9ZO " 2-5C` - <br /> MAILING ADDRESS: 33,35 L e_i-'' CITY: 111,6-S- ZIP: 537// e, <br /> NAME: r1311/21‹ L!//Y!✓y REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure X Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> ?ROPOSED WORK (describe in detail) :_/7/7/S 4&'vr ( 6,577e7./CT7a0,-) <br /> OB . <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> TO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> STIMATED CONSTRUCTION VALUATION (excluding land) : $ o:6/ DC° <br /> 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 wo k is not to start without a permit; and <br /> that the work wil the approved plan. <br /> 00 11 <br /> 101 <br /> APPLICANT'S SIGNA I • : -101016011 ..m1 <br /> . . DATE: ... "CS z_ <br />