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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total''Fee• $ Cp 5 b6 Date Received: <br /> Q , ,) Date Approved: <br /> Entered By: N6`" Permit 4°- �- <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTM) <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle G�l/o�nee) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 7727k9ifl�e (94 of <br /> l,, q <br /> (work) <br /> NAME OF OWNER: �,1-7L/e f , ,t/,/��� PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: � � /l��S�.� �/1S'f PHONE: <br /> MAILING ADDRESS: Dai / 7A/,,EE4 CITY: i�7144 4 ZIP: �..APL7 <br /> STATE LICENSE: # ,JQ) -7g7 ) <br /> ARCHITECT/ENGINEER: � �� / /AY4 PHONE: 4/ SCD/ <br /> MAILING ADDRESS: / CITY: /f/M4Z ZIP: 1/7V/ <br /> NAME: REGISTRATION tt <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : _ 2 5T4`7 ��✓0 /.7 00/2 LC, Art / <br /> i4;i4,49 7271,7, / <br /> AGYi� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ,022 <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: DATE: ‘—p?l? r/7 <br />