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CITY OF ORONO - fik1 A)ING PERMIT APPLICATION <br /> Total Fee: $ <br /> (e, I C 1 3 Date Received: (22-0/-0) -13 <br /> Date Approved: <br /> Entered By: /1/ <br /> Permit#: 7 �/ <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 CONTRACTS ' <br /> JOB SITE ADDRESS: z-- l S `'U6"->\ `` '7 F' �"- ZIP: <br /> (work) <br /> NAME OF OWNER: Mc \--d\' ` G�`�'. - PHONE: (home) <br /> MAILING ADDRESS: _ CITY: ZIP: <br /> CONTRACTOR: , "�v` �°E1' ""Y • C - PHONE: <br /> MAILING ADDRESS: \ C2-C`; �.T� •Arlt CITY: \=� �' ZIP: <br /> STATE LICENSE: # CCJC% kLt <br /> ARCHITECT/ENGINEER: 1/4-- -\^%"^A"\- PHONE: LA1 (D L 2-Z <br /> MAILING ADDRESS: 2 0 rc. A'`, A"c 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) : C '�v�y 7 , ikc64c4,', o -P <br /> STORIES: Z- SQ. FEET OF EACH FLOOR: 7NZ`f <br /> NO. OF BEDROOMS: 4-e GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ `-1-1-, ci -3° <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 /> )rdinances and codes of the City and with the State Building Code; that I <br /> inderstand this is not a permit an., work is not to start without a permit; and <br /> that the work will be i accord:nc= ith the approved plan. <br /> 411111111111.-11) <br /> .PPLICANT'S SIGNATURE: i_ •r DATE: 2 t-S <br />