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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 1ST ,S' Date Received: 1 i P J - 1 1 <br /> Date Approved ; <br /> Entered By: ,�'J''/ <br /> Permit#: <c3'7 / <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 ) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: Z.-S5 a VU E, izL t�c.L.�. ZIP: <br /> (work) <br /> NAME OF OWNER: 0-ot4 E ES5 PHONE: (home) <br /> MAILING ADDRESS: Z- S V4CA4l- Gt fu.LF CITY: a t-4O ZIP: 5535(, <br /> CONTRACTOR: Se. v-r7-7 S PHONE: / `19- '9 c 9 <br /> MAILING ADDRESS: 7 '`1 CITY: 64.14-r-+r, FH ZIP: 5-5--- t-7 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : Ar' I H NLZ S l4-Dp,7i0/-1 F3,4 L t. <br /> 0 /-10./‘-26- 7 11 'i 7 per, <br /> STORIES: ( SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 0 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTROCTION VALIIATION (excluding land) : $ <br /> aav <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: ���--= DATE: /i / Z - i <br />