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( CITY OF ORONO - BUILDING PERMIT APPLICATION 1/.7Z- <br /> Total Fee: $ / / '' Date Received: /- /6/--V <br /> Date Approved: <br /> Entered By: <br /> 1 <br /> Permit#: Ord-1 <br /> ALL INFORMATION MUST BE SUBMI'1'rii) 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: 101 west FiRm IReaa . ZIP: <br /> (work) <br /> NAME OF OWNER: ,rn mss S�d�j t ex + PHONE: (home) 4/25=9793 <br /> MAILING ADDRESS: 1 $01 W e64 f41m Ra CITY: Lew,. 41�� ZIP: <br /> CONTRACTOR: Lc4e.F)e_) 5C•4) Corsi. PHONE: 4/71-4.5-6,, <br /> MAILING ADDRESS: Qo /33k/NEE PI) CITY: ea/m/ } zip:‘.:;320e) <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration k Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : Amadei RRcA Q N <br /> S Aks-of-Z. <br /> 64) 6-1 Mr. a d3 r T tO <br /> STORIES: SQ. FEET OF EACH FLOOR: c';7156 2r4)(:6). ,,7 <br /> NO. OF BEDROOMS: / GARAGE STALLS: ATT. 4 DET. 1 <br /> 0o <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ;06,OCO <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: gt- <br /> DATE: /-/6- <br /> 1 <br />