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+ ' CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee• $ /a CJ Date Received: /6 ;& �Iy <br /> Date Approved: <br /> Entered By: Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTO <br /> JOB SITE ADDRESS: 2?Z5' WAYC-Up. W ZIP: 55,394, <br /> (work) <br /> NAME OF OWNER: Y C,T_ �.4�rr-AL, )Xj C PHONE: (home) <br /> MAILING ADDRESS: Z74v5 1lI���+sTsi lava, w- CITY: ��aso ZIP: S-S3S/, <br /> CONTRACTOR: FA_1zX .V,,4,GTW �[,S;'v�✓�T/yU PHONE:)/oIZ '$`jD <br /> $�03 <br /> MAILING ADDRESS: 211Ps w )1AuD� ' ua, CITY: SL)y_wV1�-cr My ZIP: S$337 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: 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) : ZoW rSru`Ti o1i DE ) AK <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> e,L <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <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 /> Drdinances and codes of the City and with the State Building Code; that I <br /> inderstand 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 SIGNA DATE: 9 i4 � <br />