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N w CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 37 , e ( Date Received: //' 9,1.. <br /> Date Approved: <br /> Entered By: - _ ,.r,--. <br /> Permit#: t/1/54- <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) (W/CE or CONTRACTOR <br /> JOB SITE ADDRESS: 42L5 AA 1 4 ( ) ) (f ZIP: 533 1- <br /> (work) 472. (47 <br /> NAME OF OWNER: j J I EA {-•J V d) ryikEl\I E/ L. SX PHONE: (home) 4'^72.10676 <br /> MAILING ADDRESS: 42.5 WEAT.4� ,i{.t. CITY: M Q ZIP: 5S3(4 <br /> CONTRACTOR: vTEV E1 v T 1A l PHONE: 47L (0(OW <br /> MAILING ADDRESS: 4(025 Ott CITY: OulaT40ZIP: 9530' <br /> STATE LICENSE: # <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 iv <br /> PROPOSED WORK (describe in detail) : , ARNED DEQ$pTIcN • <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 000'4 <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 tCity and with the State Building Code; that I <br /> understand this is not a pe 7it and work is not to start without a permit; and <br /> that the work will be in ac.. danc= ith the approved plan. <br /> 1011/14° <br /> APPLICANT'S SIGNATURE: <br /> 41,, /11161. 1 DATE: 5)92) <br />