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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �,, Date Received: O<///d/9-=- <br /> Total Fee: $ <br /> Date Approved: /4/./v) .2_, <br /> Entered By: z„11/ <br /> u, <br /> Permit#: <br /> APR 1 6 1992 <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 o CONTRACTOR <br /> JOB SITE ADDRESS: C O �'� \C �1QkAC S l ZIP: `�j5 L) <br /> (work) <br /> NAME OF OWNER: n!1 V1NQ PHONE: (home) <br /> R T-INN ADDRESS:(NCL ,1.1\\Z ; .k.Ct cr CITY: C( ckk t\Ct ZIP: SI?,C' <br /> CONTRACTOR: i "Ll ( ( ( PHONE: ok - I C <br /> MAILING ADDRESS: S /14 ( I I A( ;nCITY: 01,171,s ZIP:�S,�`/� �7 <br /> / STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATIOq 2 9 1992 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : .<1(-1\t\D Q •S <br /> \S-V 2 k CCc1 ,. t , 1 Cl t �� �'�.�S Qt-Qt( <br /> (3 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. / DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /9, 3_5-D.U0 <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 /> / f DATE: /7/%- <br /> APPLICANT'S SIGNATURE:X yi �'CG�G ,n�v /`C <br />