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CITY OF ORONO - FAUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permit#: 94,/ <br /> ALL INFORMATION MUST BE SUB NFUiLBEnclosed)ORE REVIEW WILL BE STARTED <br /> Check-off <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: /q' b1054 42-``` "/641.c0' "0( ZIP: <br /> (work) <br /> NAME OF OWNER: <br /> ��4,,=a/ 2'2 PHONE: (home) 4/5 / 0/2-6 <br /> MAILING ADDRESS: / /C' .tee) ZIP: SS"7C6 <br /> C*�' � 6'- ' CITY: [�/�v <br /> CONTRACTOR: <br /> (NES 2 . PHONE: 72 c3 —7evZ <br /> �J / <br /> MAILING ADDRESS: Z''b, /? ,fv� SV CITY: A'Irl5 . ZIP: S`n 06 <br /> STATE LICENSE: # 69-70 <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 u Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) :' <br /> c1� o 5feaoe-, <br /> vCF _ /.ac6 E / A( Si'/ / 1446 Ccs'.z C-74/4- , .F/�t'-, �-• <br /> STORIES: a SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 9 4/8o <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ / <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 /> / <br /> APPLICANT'S DATE: �' g5' <br /> SIGNATURE: <br />