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t . <br /> - - CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ '5/. 3J Date Received: //-//.-92, <br /> Date Approved: <br /> Entered By: ./_11.-/ <br /> Permit#: ' 1y:- <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 CONTRALTO <br /> JOB SITE ADDRESS: .. CN 3) CIL Lleiteatioltk LI ZIP: ,rJJ-3 3 / <br /> (work) <br /> NAME OF OWNER: T4 tiii 4 S LJQ , PHONE: (home) <br /> MAILING ADDRESS: a d, :S 0 U), /0/44./c1/0 / CITY: e _',cz ZIP: ....i3-33 / <br /> CONTRACTOR: ,g/- G'4- gr•2 Pt /71 PHONE: 441=- e91,1- <br /> MAILING <br /> ,c1'1MAILING ADDRESS: /t?4 tree a k-Chl he ay CITY: LL1Cs4•4 7tc. ZIP: ..47-4-'97 <br /> STATE LICENSE: # 47 <br /> ARCHITECT/ENGINEER: j PHONE: <br /> MAILING ADDRESS: /( CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition AC Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : /17 ) ..J 6/4J-0..7 , 14,44-/�i`‹ 446,7Weecwi <br /> / <br /> aid/rio/i <br /> STORIES: / SQ. T OF EACH FLOOR: ..2.12) , <br /> NO. OF BEDROOMS: 7"irE GARAGE STALLS: ATT. 11(4 DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ -217/ 4"400 <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: (1"` DATE: Pill 2 I <br />