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V <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ I/ 0b - 3° <br /> Date Received: <br /> Date Approved: <br /> Entered By: ' ' <br /> Permit#: <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: 3o k (t/J sr L &s ZIP: 55-S-6 <br /> (work) 1/757/(,7 <br /> NAME OF OWNER: ('/a64 Pee PHONE: (home) <br /> MAILING ADDRESS: 30 q wesr e CITY: / 'w• ZIP: 53 4. <br /> CONTRACTOR: °wive"2 PHONE:' 1-11671947 <br /> MAILING ADDRESS: 301 Gw/e-dr 4( CITY; /h w,- ZIP: -.---335-4, <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: -`? 1-: PHONE: '` <br /> MAILING ADDRESS: � <br /> CITY: f� 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) : $icr Od WILL PCGS TWU SIRAIL C4116:544257S <br /> kiv0 J/siatceD 3 wi/Cxus <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <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 a cord ce with the approved plan. - <br /> APPLICANT`S SIGNATURE:/ i ,(47( <br /> DATE: <br />