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` '` CITY OF ORONO - BUILDING PERMIT APPLICATION G� <br /> Total Fee: $ o� Date Received: E o9cr—/ <br /> Date Approved: l - ) - 9O <br /> Entered By: ) �a Sd <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 ONTRACT,9F- <br /> JOB SITE ADDRESS: 456/ 60N-72)11 PS . LDt`'L,VE''.. ZIP: <br /> (work) <br /> NAME OF OWNER: •.�Rn?E,S £ 1)(3,/ ?1e PO APHONE: (home) <br /> MAILING ADDRESS: /SO/©/ ?ct, CITY: 2_0,7 2,1/c ' ZIP: <br /> CONTRACTOR: c5 )lx".4),c ,4 PHONE: 4/4 --d.2.02--, <br /> MAILING ADDRESS : 94 f�l(l.(l 4,4 CITY: j/ ,r¢//p' ZIP: . 539e <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ?emeJei S 4-Jb(c Tom' ' 6-1,k1,04- <br /> STORIES: <br /> J .k JSTORIES: /fP(';1% SQ. FEET OF EACH FLOOR: /`'D /ZD <br /> NO. OF BEDROOMS: / GARAGE STALLS: ATT. DET. <br /> • <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 15 ll10 <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 the approved plan. <br /> APPLICANT'S SIGNATURE: 25:Re4/1 (./1 0/40 d DATE: S'1:;' <br />