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4411.' CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 425'• 3 C Date Received: L7/1.,/ <br /> Date Approved: <br /> Entered By: Permit#: / <br /> '7 3/ <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: x1!004 ujetj 1�AiFkl TP_ C?g.oro ZIP: -;. :3:3 I <br /> (work) <br /> NAME OF OWNER:']Av,L .AtkRA £1<14-0 1-i"\ PHONE: (home)X17/- 4l 8 V <br /> MAILING ADDRESS: "zc.u(.. LJe.•.* Le, a . CITY: 0A0fto ZIP: SS33 j <br /> DUv.-t7s0 4374 (eelF40 <br /> CONTRACTOR: Core-eft- LANC>SckP+4C. / {?ef^+GJt t) G PHONE: 141z -4116 <br /> MAILING ADDRESS:31SPR\Fs5` >^AME CITY: mCkn3I, pi A.) ZIP: S530-I <br /> STATE LICENSE: # 000 S`j91 <br /> ARCHITECT/ENGINEER: S 13„..._”, c=_2 d- PA E Pis(Z. PHONE: 9 C'I - 04iCia <br /> MAILING ADDRESS: b S A-1 0.Skk \ S+ , CITY: YYl r i s ZIP: Ste( <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) : L1lcvny. 4eA 04,1\-404,1\-4-0-wc, +0 be-AN.0w. ba-''\ ) <br /> 0 <br /> ) <br /> STORIES: i zo' SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: S GARAGE STALLS: ATT. '✓ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 5-,/oco . co <br /> 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: Z�-/J <br /> a � . 1: DATE: /L��P/9 <br />