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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: `- Permit#: ( /0 <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: 31-0 (ie%,51- Lake- >7.OY�r/ ZIP: .55_35-4 <br /> (work) /,/ <br /> NAME OF OWNER: Chr(( ( (0 VZ PHONE: (home) Ti 936(4 <br /> MAILING ADDRESS: f/aA t-tk. St. CITY:L.0yd ileP, ZIP: . 5 2)3-6 <br /> CONTRACTOR: Cl'1,CAv 5 ) at baa PHONE: q75'`7 5 42`f' <br /> MAILING ADDRESS: 34/ GCITY:/_._9 £ c?/� ZIP: 5S.5", <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: 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) : Rem oce *vcr rrj f 6eolv'oon"i <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: ap/reX• Dc-10 - �� �d <br /> NO. OF BEDROOMS: 2- GARAGE STALLS: ATT. DET. 2— <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ JVD- <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: (X2!i? .1 DATE: ill-/T J l C <br />