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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ / 36V (VS- Date Received: j/-3a -9 6 <br /> U Date Approved: <br /> Entered By: ?- 9 <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMIZTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one ) ( OWNED or CONTRACTOR ,L.cieJt /41k6- PO, <br /> JOB SITE ADDRESS: :.2 f6t) i -/ TZXvii ,4 ;,4t1 ZIP: ..S 3 3SZ' <br /> (work)3140L-(c(117 <br /> NAME OF OWNER:J)/90) -UL -S-41.40.0 ( //f0v 11-ID PHONE: (home) L/7-S O <br /> MAILING ADDRESS: ( c76/0 641 r1rl 6,00) 2a-CITY: Lie) /4e&//47J& ZIP: <br /> CONTRACTOR: aeljKA)Oa),A.) PHONE: <br /> MAILING ADDRESS : CITY: ZIP: <br /> TYPE OF WORK: New Addition V Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : h/ 6 A/ 9 7)4(,(...61 ) /45S <br /> 4fiL-0 C/A)kon9 .--/t) ,f/95 r 5,.1,L- o Xetes e74 <br /> STORIES: SQ. FEET OF EACH FLOOR: J Li <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ a DCC <br /> e <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 /> �I)( `9 U <br /> APPLICANT'S SIGNATURE: �C-/e (/ DATE:444 /I. <br />