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! w CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: - - <br /> Entered <br /> pproved:- <br /> Entered By: q <br /> Permit#: .-3 -1 [ <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> a7 c' � n 0 ci KcL.E <br /> JOB SITE ADDRESS: ZIP: <br /> (work) l LII-2Ss3 Sr <br /> N4ME OF OWNER: <br /> c)044-) 00U G-11-10 PHONE: (home) 1.05--0 5--5-- <br /> MAILING ADDRESS: Z`7 W < J CLF CITY: ZIP: <br /> CONTRACTOR: (!--',0. Oc s, SO4...,SO4..., mje-' PHONE: per, <br /> —g-2/2-2_ <br /> AiAILING ADDRESS: <br /> CITY: Of/reffifukrA) ZIP: C-573" <br /> .I'YPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate A Land Alteration <br /> PROPOSED WORK (describe in detail) : R R 1" U0104701-,- (.1.) Z t 1 4 <br /> 6,61"47116- SrVi keStdE ( Ti,ic_6194-4 5th-'SCS <br /> , <br /> STORIES: 2- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> yon, , <br /> ESTIMATED CONSTRIICTION VALUATION (excluding land) : $ 5# 25 )i <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 inrdance with the approved plan. <br /> /p.C-C.T <br /> TURB4-----1/46 <br /> i <br /> f, <br /> z <br /> APPLICANT'S SIGMA <br /> V. DATE: Z i� I <br /> (Please fill out the reverse side of this form) <br />