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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ .?-7 (i- O Date Received: ' f- ,) <br /> Date Approved: <br /> Entered By: ' <br /> Permit#: V3 3 <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: C „�aa,,,,s-T �1 e,r4'‘ ` ZIP: c5---3\0 <br /> Q42r392R -- (work)( 1- 1300 <br /> ' <br /> NAME OF OWNER: .Jt�c(Ns s - � -c-c(-)\oil" PHONE: (home) `1a-t4 to U <br /> MAILING ADDRESS: <IA r•,-e-- CITY: ZIP: <br /> CONTRACTOR: Q \sJ�c. (L PHONE: <br /> MAILING ADDRESS: ‘Sra��}-- CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/EN : oar__s•- . -kk. ZZPHONE: L--\1() - 136 t <br /> MAILING ADDRESS: \Q \\-tA.-Ar..\di.k.,3 Sb CITY: CV,AYA‘HS ,-\ ZIP: L;"53A <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) : � �;:,) au kat, QAP_A e # % 1 aU <br /> cCQe.PIC) . 11/4Q.AA (_ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ iton ,_, <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 ),\0o z C\WG, DATE: lcg �'- <br />