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- ~ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 1.1.0X° Date Received: <br /> Date Approved: <br /> Entered By:.i.. -'--->‘ I mo_'; S . k�`c <br /> Permit#: <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) (WNE&or CONTRACTOR <br /> JOB SITE ADDRESS: (4-6 Z.S UUC.�rt (3c cmc-_> Rd ZIP: 5 3 6 `-( <br /> (work) eit-72 -- .6 75 <br /> NAME OF OWNERS, Sk ( hc=r -v- S. (�`-'`c c- PHONE: (home) S�r'r`c <br /> MAILING ADDRESS: `(6 '- (--Z)eS+ (( � c.,V-, CITY: (Y)C)LAn0-1 ZIP: 5z�6`{ <br /> CONTRACTOR: C W n e?c v PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ( r K-- V---‹..OLD C \1 A 135.3 o c�c c PHONE: J 36.-2(PSV <br /> MAILING ADDRESS: ( c0 9 o ( (2 (, -j (k r c le O✓, CITY: Cr !-)(-),:_---`t - t S ZIP: 55,Y0 <br /> NAME <br /> NAME: Cr e--r-‘‘..... uJ(2- ( I REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration X Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : Rca rrNocAe \ , t- r c�c "T- \ r Si- <br /> -4-1 r"3 "c\f-, , f\dlcA �� I Li, ,(Th c_),o(JO <br /> STORIES: L SQ. FEET OF EACH FLOOR: <br /> O. OF BEDROOMS: y GARAGE STALLS: ATT. DET. ``{ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 30i (5-0-0 <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and acc ate; that the work will be in conformance with the <br /> .)rdinances and codes of . 'e City and with the State Building Code; that I <br /> .inderstand this is not a p - :mit and work is not to start without a permit; and <br /> that the work will be in afrdance with the approved plan. <br /> APPLICANT'S SIGNATURE: , ► DATE: 12 22--9 <br /> � 1.._1.►t. 3 <br />