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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ?(4. Date Received: ,s3 - /4/ - 6/ V <br /> Date Approved: <br /> Entered By: <br /> Permit#: 5 '1 b <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> TmE APPLICANT IS: (circle one) OWNER or�NTRACTO <br /> JOB SITE ADDRESS: /,‘.‘ &. last iAti ii alt //i*a, /RA ZIP: ,ri� 3 ,s-(:: <br /> (work) <br /> NAME OF OWNER: t 145 4( d S=C12_L S S( Z) PHONE: (home) /TL <br /> MAILING ADDRESS: / 12&() LUvc f tin keit= CITY: 201 14 it-- ZIP: <br /> CONTRACTOR: ,/�.41p s q c� ‹.-j/c T fli S e S PHONE: 9.3,2 - 96 6, <br /> MAILING ADDRESS: P (�, ,B©;c 52 CITY: 1.1!Ay lost.. ZIP: .SS <br /> STATE LICENSE: # 27(:)/ e0' / <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 <br /> PROPOSED WORK (describe in detail) : i1L Gs,v � t ,j" X /(t `,i <br /> A#)1 (r( tics [^ j ncsF C/r7 r- de <br /> STORIES: / SQ. FEET OF EACH FLOOR: , <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /5(1Yr, (fl0 <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 DATE: 3 /� �l <br />