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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ';,ta1 ree $ 5 ' Date Received: (f' fix) <br /> Date Ao roved: <br /> ._ t <br /> . ered By: • jg2� - - ��5 S <br /> Permit <br /> INFORMATION MUST BE SUBMITh.D IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> APPLICANT IS: (circle one) OWNER o _CONTRACTOR <br /> OB SITE ADDRESS: 15O L/, y-./A! 1_, 7i4 /3L v/ ZIP: J 5 <br /> (work) <br /> AME OF OWNER: ,4Yi4?A 010, PHONE: (home) y -.LJ2S <br />:AILING ADDRESS: 3 < V. xrF g f) g , CITY: 6: ZIP: ccI <br /> ( 5.7- f''( Q///Ij/C,�3 O t /v14 PHONE: Z qb - 1 <br />;OtiTR.ACTOR: � .- <br />:AILING ADDRESS: J 0 2 9 't /L/O/.L/./o _414 CITY: e 0 k -4ra ZIP: 575-3�, / <br /> 'ATE LICENSE: # 0 c') <2 <br /> /'f A/+3/EL//'k ,- <br />.,-2CHITECT/ENGINEER: ' . i ..4,./AL A'u, QM %G FmPHONE: i./ - ` /,_/ <br /> y0 c- <br /> ILING ADDRESS: % 7 2 I /14 ER CITY: ./`7(l jJ�✓.y) ZIP: Ks-/?‘ <br /> .AE: REGISTRATION <br /> PE OF WORE: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br />?OPOSED WORK (describe in detail) : FA, r4'l f- /` ✓ �'`� '� n` <br /> 0A 0L ,vG -m.4/ • , -Q/ � / ti < AA <br /> .RIES: SQ. FEET OF EACH FLOOR: <br /> OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> "^IMA'i .) CONSTRUCTION VALUATION (excluding land) : $ 3 5-0 0 , 30 <br /> :Hereby apply for a building permit and I acknowledge that the information <br /> ove is complete and accurate; that the work will be in conformance with the <br /> :'finances and codes of the City and with the State Building Code; that I <br /> .ierstand this is not a permit and work is not to start without a permit; and <br /> at the work will be in accordance with the approved plan. <br /> DATE: 9 <br /> =CANT'S SIGNATURE: _.„44-4 �, ' <br />