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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ y aS� Date Received: <br /> Date Approved: <br /> Entered By: �iJ� Permit#: �P 7 <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 CONTLT <br /> RAO <br /> JOB SITE ADDRESS: Z`-7Z.5 )A---1-A 1y�biy"p , �� ZIP: <br /> ►"� ��c 0 1 (work) <br /> NAME OF OWNER: V I G 6a I lit e- PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: EA:Ka4.WAt_-7V t-d11<L "77,,q/' PHONE: �5yD ,65i 73 <br /> MAILING ADDRESS: Z]OS W_ VA)jDg &al CITY: "Rup-,usw L W, ZIP: <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) : ICCWVC ��7 fix' YI�ot, fjZl4.fdn } U W#LL <br /> sv S i WIN 4� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 4-0D <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: �l- <br />