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. CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: <br /> Total Fee: $ - <br /> Date Acorove/d(: <br /> Entered By: Permit l//,_r ?I ; <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE SThRT.ED <br /> (See Check-off List Enclosed) <br /> - ` <br /> THE APPLICANT IS: (circle one) OWNER oz(CONT.gAC Rte' <br /> JOB SITE ADDRESS: 3/2- (N .S I LW sfi,7 <br /> ZIP: <br /> (work) <br /> �n PHONE: (home) <br /> NAME OF OWNP.R: 14:"C'\ S- Y <br /> MAILING ADDRESS: 37c7Z (. d r` � CITY: 16_ 1Z) ZIP: <br /> _ I- ( 6 C PHONE: l 7 <br /> CONTRACTOR: % • J' <br /> MAILING ADDRESS: -75--as- = ' g 1 a <br /> CITY: Firebt.6, ZIP: S S (" <br /> STATE LICENSE: # 6__ -____:_i____.--35- <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP: <br /> MAILING ADDRESS: <br /> REGISTRATION 4 <br /> NAME: <br /> Accessory Structure Move <br /> TYPE OF WORK: New Addition Land Alteration <br /> Demo <br /> Remodel/Alteration Renovate <br /> PROPOSED WORK (describe in detail) : —01"x• P <br /> .�� / (1 �� v �1 t�� 1.i_ F pZ viµi !1( I C S. i <br /> • <br /> STORIES: SQ. rr.�i' OF EACH FLOOR: <br /> NO_ OF BEDROOMS: GARAGE STALLS: ATT. DET.— <br /> eo <br /> ESTIMAT.tii CONSfiRUCTION VALUATION (excluding land) : $ _7'O <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 de with the <br /> C <br /> ordinances and codes of the City and with the State Building Co ;. andI <br /> understand this is not a permit and work is not to tart without a permit; <br /> that the work will be n accordance with t• an ed plan. <br /> . <br /> APPLICANT'S SIGMA <br /> . ' _ i- ( J _ __ - / DATE: S7 -> <br />