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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /6--; /7.• ? Date Received: '7/023 /9:L <br /> Date Approved: <br /> Entered By: ' ei�' Permit Q: ----5,2-7 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE START <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> %t %`'ik-z /6` ZIP: .�,� .-9,i <br /> JOB SITE ADDRESS: / O h)47 /& <br /> (work) <br /> NAME OF OWNER- C��,C c <br /> • / �/ f/7/o` �// ///r)//J PHONE: (home) -7'/ i �G <br /> MAILING ADDRESS:G2/2 2.<11 /746.; ()„.i, 7,-;'G/ CITY: L/S-"(4)j /4-/i/ ZIP: -.7-5...C.5-2.5:4 <br /> CONTRACTOR: j e,/d J -ter C1,--704',172: L2c PHONE: �%;/--�` ✓yU <br /> -�` i ) ,1/ ,2/ CITY: �i5.://-/r7 s/ZIP: : / <br /> `1 <br /> MAILING ADDRESS: .� �U /ffi� ..iJe- _ , �l / <br /> l� r,. .l <br /> STATE LICENSE: # A1).5- <br /> ARCHITECT/ENGINEER: <br /> 7 <br /> ARCHITECT/ENGINEER: ---"-_ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition z Accessory Structure Move <br /> Demo Remodel/Alteration Jr Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : :Ct•4/( 4/G''6' /4'�/4-2 ,%� 6e,G4-" ,4C y0 m`1' <br /> ?„ c . - 'i T/: r <br /> STORIES: SQ. 1' s'r OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ '61i. <br /> s. <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:t,7),,--,;7//: _ d'"' / DATE: <br />