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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> . Date Received: <br /> Total Fee: $ - <br /> Date Approved: <br /> Entered By- Z Permit 6-4" ----s-- - <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STAR <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: <br /> (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: <br /> -3e° L.J . co, KIJ ZIP: <br /> (work) <br /> K ! .. (� <br /> K` v4 �‘�v`<-SL PHONE: (horde) 6(76,-g673 <br /> NAME OF OWNER= ZIP <br /> MAILING ADDRESS: CITY: : <br /> PHONE: <br /> CONTRACTOR: <br /> CITY: ZIP: <br /> MATTING ADDRESS: <br /> STATE LICENSE: <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> REGISTRATION <br /> NAME: <br /> Accessory Structure Move - <br /> _*nTYPE OF WORK: New Addition Land AlteratMon <br /> Demo Reodel/Alteration <br /> Renovate <br /> PROPOSED WORK (describe in detail) : . J <br /> G-207- 14/7c-Y-e. • VL_47_ ___ <br /> i� S cv' ` 7 4 te f1��v, 0 / (cr.,.J 1n C��Y d� S 7�' 'e_. <br /> (/1 _--7-q"(5-y\-\-- U <br /> STORIES: SQ. r�.e OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding <br /> land) : $ <br /> permit and I acknowledge that the information <br /> I hereby apply for a building that the work will be in conformance with that <br /> the <br /> above is complete and accurate; Code; <br /> ordinances and codes of the City and with the State Building and <br /> understand this is not s ac ort ace with the approved plan <br /> without a permit; <br /> that the work will b • <br /> DATE. �/LL� �,' <br /> APPLICANT'S SIGNATURE: �rl� 1111 ' n <br /> �r` 6ral /firs-a; ,± <br /> • *1-5 t_ 55- -t' . _----- . ... ...: <br /> cT `Z/ �r (' <br />