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CITY OF ORONO - BUILDING PERMIT APPLICATION / <br /> 9 <br /> Date Received: 77'z'5 �� <br /> Total Fee: $ _ .5., CO l <br /> Date Approved: <br /> Entered By: �� permit#: e7;;24 <br /> ALL INFORMATION MUST BE SUBMITTEDeIN FULLiBEFOOREsPd PLAN <br /> REVIEW WILL BE STARTED <br /> (See Check-off <br /> APPLICANT IS: (circle one) OWNER o CONTRACTOR � 3 ' <br /> JOB SITE ADDRESS: 67 �, 1 `Z�1 ) . ZIP: <br /> (work) 55? //// <br /> fl <br /> NAME OF OWNER: 1"e (�F 0 E' 17_o() /�� ` PHONE: (home) <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> khJY7z3 41-3go <br /> CONTRACTOR: 6 A)5 U PUG-) M I T PHONE: q7 6-9 z7i 6 d <br /> MAILING ADDRESS: 2'2q-00 /T 1, 55- CITY: ��-u ZIP: .63-3 z/0 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New n <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 671/L9- 3-2) '//2:- ° <br /> STORIES: ( SQ. FEET OF EACH FLOOR: <br /> NO. 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 withatht l <br /> ordinances and codes of the City and with the State Building Code; <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 /> q <br /> APPLICANT'S SIGMA j ��/VAff DATE: Z <br />