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_ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ '?j 5/, �j� Date Received: 47/2_6,/9, <br /> Date Approved: <br /> Entered By: ,e%/ Permit#: y/.26 <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 ) TiNER)or CONTRACTOR <br /> JOB SITE ADDRESS: Z- ( ?c,L ZIP: Sir 3 3 ) <br /> (work) <br /> NAME OF OWNER: T7 i1AI' 2 126 d> e-Jas PHONE: (home) '92/- 93 90 <br /> MAILING ADDRESS:2.‘DG vv L,3/'dye 17e 12t CITY: Lr . C L'L S/0 i2 ZIP: 3.3/ <br /> CONTRACTOR: j () A✓N L i2 0 Ip /21 PHONE: /2/ ' 93 9e <br /> MAILING ADDRESS:zjQD 1f4y Jig /CITY: Lei((LLSi0/2. ZIP: f 3 3 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration )< Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : rxine A E L y- t x .9-0✓� i i i G Hem <br /> ti 7`d 7 71 i /2v G"f9/2, 6'L S 7-19 L[- <br /> STORIES: / SQ. FEET OF EACH FLOOR: 174' D <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2- o, i BD <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: /2) 26/91 <br />