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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ -� �/5 Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: FYI <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 o CONTRACC <br /> JOB SITE ADDRESS: 720 Go ,'7i C/C� ZIP: <br /> (work) r <br /> NAME OF OWNER:C f i, g J�5 ,< PHONE: (home) 4/75---'/2k <br /> MAILING ADDRESS: ,7�0 ‘444;. ClAi CITY: Ogere ZIP: <br /> CONTRACTOR:1 -j7(�//0750/r PHONE: 4"/N .-.576-t <br /> MAILING ADDRESS: ,:,M ,5Ai��E-IV CITY: ACo�./'l�� ZIP: 3 <br /> STATE LICENSE: # �(iL 75 f 7 <br /> ARCHITECT/ENGINEER: /'/,G711.Fee4/ �f�/� OGv�� PHONE: &2,j=7652% <br /> MAILING ADDRESS &0f L, ,('44/,s*/ %, CITY: Zlee7.,W 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) : /b )72f/AP�✓ <br /> STORIES: / SQ. FEET OF EACH FLOOR: J1 /y1*d /,Z9V 6.9. 6-417„14//2- <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. 02 DET.P <br /> pe, <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ / 5 QDe <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: ( AMP/ Al _ „/ --� DATE: //j? 7 <br />