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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ <br /> 7/&. /5 Date Received: <br /> Date Approved: <br /> Entered By: d1 Permit#: � lam/ <br /> ALL INFORMATION MUST BESCheck-off <br /> UBfFULL BEEFFOORREEsP� REVIEWIEW WILL BE STARTED <br /> (See <br /> THE APPLICANT IS: (circle one-)- OWNER or(ONTRACTOR) <br /> JOB SITE ADDRESS: 3t) U)e'` I f VFi t t ZIP: <br /> (work) 7 <br /> NAME OF OWNER: C - 1U'u r50)v1 PHONE: (home) 4(73--!6 Y3 <br /> MAILING ADDRESS: 3-6 U + lzau £kk 4 CITY: n-1720,\14. ZIP: <br /> CONTRACTOR: r h`1K6 \' v i L"' "' PHONE: 4173 -3 3 7 <br /> �1 <br /> MAILING ADDRESS: L 1 Pj y <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) : <Ft"r O Fr OICD roU rc 11 b <br /> fr‘ 100P6 P <br /> (f,„ <br /> ro-F-Ome S tic() C)bC' fail S" 1/2 1`1. Cl e r.lam)O l LLE)C CLOW Iv 1 J/{ /1 / <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> tc <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ c9-15-6 <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 withathe <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be i -ccordance with the p o d plan. <br /> APPLICANT'S SIGNATURE: �� V •D • 4 DATE: ) c <br />