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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> • Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: Permit t: (; / 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) O;NER r CONTRACTOR 2 / <br /> JOB SITE ADDRESS: Ct <br /> 0 W PTePT0c.i-7127 4`0 ZIP: cis �O <br /> Riqe <br /> In (work) <br /> NAME OF OWNER:j �� kO ( -11k0 !� l1) PHONE: (home)Ll -dROL <br /> /� <br /> MAILING <br /> ADDRESS:a l0O �lJ Ft--"Te �T O(tD1U 1210 CITY: Q 1'UC)L44-14e ZIP: S7 <br /> CONTRACTOR: 1c�10 C J It V ( a ru PHONE: c� I ' L b <br /> CON Cc ������r <br /> MAILING ADDRESS: C`�O LJ' J l L V e 12 fl U e CITY: f}~f L l/L t 8C1)pit) ZIP: /5 5- 3 g Fc <br /> STATE LICENSE: # / II0 .-)A ( b0 <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> NAME: REGISTRATION # <br /> Structure Move <br /> TYPE OF WORK: New Addition Accessory Land Alteration <br /> Demo Remodel/Alteration Renovate <br /> � <br /> � <br /> PROPOSED WORK (describe in detail) : � -i 0- ll a0 er4v- <br /> to LT fi' <br /> I U) 1 pI�2, e (� i � ) yL • wI3Te CC—" <br /> L L P + \/W7 5 - s� c►vLy <br /> STORIES: � �� SQ. FEET OF EACH FLOOR= <br /> NO_ OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (e.acluding <br /> land) : $ 4/�S©0 © (� <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; <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 /> DATE: <br /> APPLICANT'S SIGNATURE: A _AI <br />