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4 Y <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 90-6,6 Date Received: <br /> Date Approved: <br /> Entered By: • ,CA, Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> TEE APPLICANT IS: (circle one) OWNER Cr :1 TOR--_. <br /> JOB SITE ADDRESS: 2580 til W a ria fa Blvd ZIP: 5535( <br /> 5Y25- <br /> (work) <br /> Y25(work) 44-1 --10111& <br /> 7 <br /> NAME OF OWNER: 1 11ord Oite4\ peoco U PHONE: (home) <br /> MAILING ADDRESS: 7) D I3Dx ..24e9CITY: Df MI'v ZIP: 5-53 <br /> - �'sv�sCONTRACTOR: T)r. ka� (es F. 7 i /Vep`-a7." PHONE: ���-� 6g <br /> MAILING ADDRESS: PO 6x �/SoA10 CITY: oroilo' ZIP: 55) o <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: w •• REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration ✓ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : o/15truC iprt o/it f erior waits) re,[ocatinq electrical <br /> OuHel5 artcl/f,k5), reloca-17 waw/0 s emcarain ('c lic01 uo 2 s/nks ord a wafter AeaIi)+aid/4"S-0#/7 <br /> avi X-ray mdeAf 1e ,toce5sof. <br /> STORIES: I SQ. FEET OF EACH FLOOR: (o00 <br /> NO. OF BEDROOMS: 0 GARAGE STALLS: ATT. (� DET. C) <br /> �Dc2 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ v7 Sod ' - <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 /> :nderstand this is not a permit and work is not to start without a permit; and <br /> ghat the work will be in acc•rdance with the -pproved plan. <br /> ,� DATE: 003 <br /> ..PPLICANT S SIGNATURE: itr // ��i � <br />