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r <br /> r 1 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION " <br /> Total Fee: $ �a�� 7J Date Received:_- <br /> Date Approved: <br /> Entered By: ' <br /> Permit#: y&/7 <br /> ALL INFORMATION MUST BE SUBMITTED IN FTTT•T. 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: � 7�nS L�J.,4er r) PC) n ZIP: <br /> (work) �3q-30o`z <br /> NAME OF OWNER: PHONE: (home) V5_-3 <br /> MAILING ADDRESS: 37�.� & Jaatel' -hnL,)ij Pd— CITY: McAp le. 12 LI) ZIP: <br /> C a/ rt / PHONE: 1// <br /> -3" L'� <br /> CONTRACTOR: o e <br /> eL <br /> MAILING ADDRESS: 4D/ IVB CITY: . /P �r��1P ZIP: SS`F3� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: (-5g.,71- /1 PHONE: *3 <br /> MAILING ADDRESS: 6 9 7 /0_'�id 12/ 4 CITY: Zw/p Clove ZIP:,<5-3 4 9_ <br /> NAME: Nr ti r �a r A e ✓�It REGISTRATION <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> i <br /> PROPOSED WORK (describe in detail) : /_)e#-&J Cgcs raT <br /> STORIES: r SQ. FEET OF EACH FLOOR: W,9 Q <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ � Lnr) <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 /> DATE: <br /> APPLICANT'S SIGNATURES 7�6 � Z� 7 <br />