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4 <br /> r CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 0 ' 1,5 Date Received: ,t` <br /> Date Approved: <br /> Entered By: ' C,r <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) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 1/ 770 Wes 1 <br /> 1Fecryri e4ad_ ZIP: <br /> (work) 33 <br /> NAME OF OWNER: OJ ILL ( /1/AT e.t.a # /Q� �/t) PHONE: (home) gx." cf <br /> ADDRESS: 7 1z`�/14Y/7? led CITY: �,[� ZIP: <br /> NAILING � 7 / /� <br /> :ONTRACTOR: /APF'S�t0///idu jeIt/`/SPS r/V c". PHONE: f 3 )9 G� <br /> {AILING ADDRESS: p / s6'7 Jr CITY: HA9 y,./2//9 ZIP: '5�-3�I <br /> (`) 7()/(; <br /> STATE LICENSE: # 4 O ,, // <br /> ARCHITECT/ENGINEER: �J / PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> MAME: REGISTRATION # <br /> becA <br /> 'YPE OF WORK: New Addition X Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : /ALI;iv: 1L,'t_u /Ise/j r!3'N7. �k/Sf/,‘) <br /> U <br /> STORIES: SQ. FEET OF EACH FLOOR: 47//j x r'O CjY/4/ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> Ow_ <br /> STIMATED CONSTRUCTION VALUATION (excluding land) : $ /Y",, /)n7 <br /> hereby apply for a building permit and I acknowledge that the information <br /> cove is complete and accurate; that the work will be in conformance with the <br /> rdinances and codes of the City and with the State Building Code; that I <br /> nderstand this is not a permit and work is not to start without a permit; and <br /> hat the work will be in accordance with the approved plan. <br /> DATE: /e �% R3 <br /> �PLICANT'S SIGNATURE: 1���.. <br />