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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> JO Date Received: C, <br /> Total Fee: $ ���► '�/f/ <br /> II Date Approved: (40/ -//cif <br /> Entered By: lJ <br /> Permit#: 77 <br /> ALL INFORMATION MUST BE SUBMIT•rmU IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one ) OWNER or ZNTRACTQ) <br /> JOB SITE ADDRESS: / ??..5- l ) c*- Fee r'm Cid ZIP: 37-i 3:5 4> <br /> (work) <br /> NAME OF OWNER: , ,C/1 v r4 P4 r^r 1 s A. PHONE: (home) Ili/- <br /> MAILING ADDRESS: 1915 14JE51 Fir 01 , CITY: Z. L4y�� ZIP: 5:5-3)—<; <br /> CONTRACTOR: Aitorter1 L 0r1ej (Jf9S Af'c::rt'Cri l PHONE: q7q- /63el <br /> MAILING ADDRESS: hi?J 7 kti,jrz /0r, CITY: A eyvk <br /> PI4, h ZIP: S3-3,3 '? <br /> TYPE OF WORK: New Addition X Accessory Structure Move <br /> Demo Remote/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 3rd 6 4 Y,r 4 c 5 t-4// a eldhd fl <br /> 4.-----x I's titj ', Cq3 v .4.7Y-4-L4 ed Carj t <br /> STORIES: O r')E SQ. FEET OF EACH FLOOR: y/6 st. .t <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. X DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 75-00 <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: A___:__ i M�'lL L� DATE: G //JAY <br />