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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ .93 Date Received: <br /> Date Approved: <br /> Entered By: 411 <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: ZIP: <br /> (work) ` <br /> NAME OF OWNER: Lcçci1y ?iJi 1?fTct� <br /> i t) PHONE: (home) '7Jy- wcy0 <br /> MAILING ADDRESS: ana Ll ii FS S'_My).f ITY: tay ZIP: <br /> CONTRACTOR: 4000 C: l S e t N S \c L �14;•� PHONE: (49` 970 1 <br /> MAILING ADDRESS: t Lpgv0 0 D5ji'2 S+ �L) CITY: )"?�J;90'► Si ZIP: yi4 k) <br /> STATE LICENSE: # n O d 511 'C <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration' Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : k'epAlkie-lk‘, 4.)(--• CLI 1 1.t,AJ►'vs f� S � v <br /> L �'o44. 4/mac / ' QJ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> Off_ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /990O <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 t•e approved plan. <br /> APPLICANT'S SIGNATURE: ��� : i _ DATE: / /i / <br />