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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ n5 Date Received: _5 -,2 I-61 <br /> Date Approved: <br /> Entered By: >CAI <br /> Permit#: Ai43-y <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) (0T7173)r CONTRACTOR <br /> JOB SITE ADDRESS: ,2 7o,e (oJ, fr c Ti A Ct'rne___ ZIP: S73 L. <br /> (work) <br /> NAME OF OWNER: 6!..7.' LD s j --./o PHONE: (home) <br /> MAILING ADDRESS: ,7,2c ) 41,14, 6,-._ CA CITY: ..2y-c"..-.1‘.., ZIP: <br /> CONTRACTOR: fi. SaiC PHONE:6/.2-'7 5 )2c?) <br /> MAILING ADDRESS: S .4-ti+ CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: AC . / CWS PHONE: <br /> r <br /> MAILING ADDRESS: ,2C�S- (7,- ,J,^ ,Il n <br /> ode <br /> CITY: �/'cj l d, ZIP: S Ll <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) : 7., <br /> / <br /> STORIES: / SQ. FEET OF EACH FLOOR: 2 x 2 5' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ //0, C2C) <br /> 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 perm ' t work is not to start without a permit; and <br /> that the work will be in acc rd e with a ap. ,ved plan. <br /> APPLICANT'S SIGNATURE/4 ,/,, ,0 / DATE: ` <br />