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fi CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ JAS('. - ; Date Received: `�-//93 <br /> Date Approved: <br /> Entered By: ; T� <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER r CONTRACTOR <br /> JOB SITE ADDRESS: CA-V:3 �� L�lFu c�sT Tc-c . Ml�u u1 ZIP: 5 c 3(o 4 <br /> (work) <br /> NAME OF OWNER: A9-9 -2_A `-c20:1\ PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARC-H arEeTIENWEER: S r. \I PHONE: IA rI C9 - -3Ci <br /> MAILING ADDRESS: to \ \Q R�I J \g 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) : MAst L< 7, ..\o coQ 2 <br /> b <br /> STORIES: \ SQ. FEET OF EACH FLOOR: `o <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 3c6J2c <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: �1�\,,_ „__„ ( DATE: 101- CI-3 <br />