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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 5� <br /> Tot'sl Fee: $ Date Received: 7 ; 5 '),) <br /> � J�• � <br /> Date Approved: j <br /> Entered By: ' (3 Permit �� �D <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 or CONTRACTOR <br /> JOB SITE ADDRESS: 2(001 Ral, 011.0,-"0 ZIP: SS 351 <br /> (work) Sao - gy77 <br /> NAME OF OWNER:--iDcwsd O.Aa.,ar PHONE: (home) 47/- 93S-0 <br /> MAILING ADDRESS: (o g 0 -5l&J CITY: iav'^4„ ZIP: 39 <br /> CONTRACTOR: eo-i l `` -if PHONE: X702 -11//g <br /> MAILING ADDRESS: "i 5 3 fh�, 2•. CITY: ''w-& ZIP: 3 <br /> STATE LICENSE: # 0 o O <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) : R � o - 7 5 Cft.o 1.--41 <br /> t3- \MSAraik "SpO Vi- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ) Lf tjoo <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: q/L(�J <br />