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CITY OF ORONO - BAJODING .oRMI� PLICATION <br /> Total Fee: $ <br /> e Received: <br /> Date Approved: <br /> Entered By: P rmit <br /> JAN 5 1994 <br /> ALL INFORMATION MUST BE( SUBMee ITTED <br /> IN FULL <br /> BEFORE- PLAN <br /> Enclosed)ORREVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDRESS: a/6,0 (}),4yZ.4-fig- /3L�0 ZIP: 5535 <br /> (work) 4t'73 - 1-f17 <br /> Z/£� Apr,/,i PHONE: (home) <br /> NAME OF OWNER: Sat/ I L./ ' <br /> MAILING ADDRESS: o?/4,0 <br /> A/2 9-k �/7 CITY: 10/00 ZIP: S-53 .J,L, <br /> CONTRACTOR:/4/ //C fA Si ) PHONE: 93.8 - 7936 <br /> MAILING ADDRESS: '7 4 O �• Z4--'e S CITY:Sj /'OU/J S IP: 5 402, ,4 <br /> STATE LICENSE: # / 494 /71-1/ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> (describe in detail) : <br /> PROPOSED WORK �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> C <br /> ESTIMATED CONSTRIICTION <br /> 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 athe <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 /> • <br /> APPLICANT'S SIGNATURE: Lit/A-ems tom-! DATE: 1-.7 - 9� <br />