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4 CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> •' <br /> Total Fee: $ \. .,�. Date Received: OktbO19-2_ <br /> _ <br /> Date Approved: /4// /cL <br /> Entered By: ,-�/'V <br /> Permit#: <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 bE CONTRACTOR <br /> JOB SITE ADDRESS: Ak.,C C -0C 0 ZIP: -., <br /> (work) <br /> NAME OF OWNER: ! \('\n L_,C PHONE: (home) qy`1 -coy/ <br /> MA LINC ADDRESS: .NJ \('(- CITY: Ce <br /> CONTRACTOR: 1i . \ `{ PHONE: d'A- k--I ok C <br /> MAILING ADDRESS: 3?) S /NO I I i (x al.;() St 1 CITY: fry\` 1 ZIP:.Na S-`/L1 7 <br /> V <br /> STATE LICENSE: # Ir <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATIO M" 9 1992 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ti \l\ Q S � C � tf <br /> J � <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.cJZO <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: DATE: <br />