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1 ' <br /> CITY OF ORONO — BUILDING PERMIT APPLICATION <br /> / eo Date Received: <br /> Total Fee: - <br /> Date Approved: ` <br /> Entered Bv. <br /> Permit 0: �7 Y <br /> ALL INFORMATION MUST BESChe UBMINFULLFBEFORE PLANREVIEWWILL BE STARTED <br /> (See <br /> d) <br /> THE APPLICANT IS: (circle one) ONE ri')or CONTRACTOR <br /> ADDRESS: ���,3 G(,�ER8 4? J' ' ` `S gp ZIP: J .S 3 <br /> JOB SITE //2 2 <br /> (work) L �`J / <br /> e Pe PHONE: (home) X73 -D�"'�7 <br /> NAME OF OWNER: c��1/� ii'�Div/46,5 <br /> MAILING ADDRESS: a ebB ,a ' <br /> CITY: 0A,. 'dir' ZIP: :L l <br /> PHONE: <br /> CONTRACTOR: <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> STATE LICENSE: <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> REGISTRATION 4 <br /> • <br /> TYPE OF WORK: New Addition Accessory StructureAlteratMove <br /> Demo Remodel/Alteration Renovate <br /> PROPOSED WORK (describe in detail) :______ / /A/GZ /r;_, <br /> STORIES: ( SQ. FEET OF EACH FLOOR: <br /> NO- OF BEDROOMS: . GARAGE STALLS: ATT. >( DET._ <br /> ' <br /> ESTIMA'1Y.D CONSTRUCTION VALUATION (excluding land) : ' 62 CJ <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 de;aithat I <br /> th the <br /> ordinances and codes of the City and with the State Building and <br /> understand this is not a permit and work is not to start without a permit; <br /> that the work will be in accordance wi • the approved plan. __-.__ <br /> TURE: `� �� �I�/ _ -/L'...rtL�...+.a DATE: <br /> APPLICANT'S sIGNA ./' <br />