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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �5�'sS Date Received: <br /> ,&L(12Date Approved: <br /> Entered By: <br /> Permit#: 361,9 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNED or CONTRACTOR <br /> 03so ZIP: 5351 <br /> JOB SITE ADDRESS: V46. Lc5ES I 1JJ A &V( <br /> (work) 541_13 .35 <br /> NAME OF OWNER: 'Q PM '-� Uri / diW PHONE: (home) `32i4-4111 <br /> MAILING ADDRESS: two S+teC I-n Pi rf_ f 41,7 CITY: NipLs . ZIP: 56L/2& <br /> CONTRACTOR: TN Grhn(L Avi5r 4 5c -1A ; lel ui re0 PHONE: 541-139.f.; <br /> MAILING ADDRESS: /CAA') Sr-F i / 12 l 1 ' `OLQ CITY: fV)pLS ZIP: SSY?L= <br /> TYPE OF WO�` New Addition Accessory Structure Move <br /> Demo V Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : C i ge_k;.LAR . 1 S4'L- \'`$ <br /> STORIES: SQ. FEET OF EACH FLOOR: 1‘)-S <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. ✓ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2U .,COO V� <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 a cor ce with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 14 <br />