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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 7 7L. 9 rx Date Received: <br /> fl2-t\-) Date Approved: -/- <br /> Entered By: <br /> Permit#: 3 (� ,-- <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIB'W WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER r CONTRACTOR <br /> JOB SITE ADDRESS: a V r 0 4/, !✓ la'1,74 7/J. ZIP: 5S3S( <br /> °by ,14Ae, (work) Y3-5VS <br /> NAME OF OWNER: PHONE: (home) '9' /5 37 <br /> MAILING ADDRESS: JgOx AO CITY: �c,, y 1,�h/,4/ ZIP: 4'"4-15 5 o' <br /> CONTRACTOR: M.E. % -Ccs, PHONE: eTlie '4(2_5-0 <br /> SO <br /> MAILING ADDRESS: /00.4100 /,h1 /e Ale e S. CITY: _Percfrn,t..,, Apt/. ZIP: S"s `fes o <br /> Swift- r� <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration X Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ,4: ,g44-47.-- a.,01 <br /> STORIES: / SQ. FEET OF EACH FLOOR: 91007 <br /> NO. OF BEDROOMS;/------ <br /> EDROOMS GARAGE STALLS: ATT. DET t <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /a/ Pee) /� 000 <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 /> APPLICANT'S SIGNATURE: ✓tr ,/ "0! , dv DATE: 7///:./‘/A/ <br />