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CITY OF ORONO - BUILDING, PERMIT APPLICATION <br /> Total Fee: $ AF/,/ Date Received: � 7 <br /> Date Approved: <br /> Entered By: (J <br /> Permit#: fir; ? `� <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) 442E4 or CONTRACTORn� / <br /> JOB SITE ADDRESS: /d20/ I,()/Id burs./ 7d i i / "11-4'/ ZIP: 56-3 7 <br /> ^ / (work) %L-7z -7/095 <br /> NAME OF OWNER: / VENC`' G L . ,2, & LL PHONE: (home) /74'4' 3 <br /> MAILING ADDRESS: Sig-ME- CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> 7 <br /> TYPE OF WORK: NewAddition ,4�� Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : .7"//ti DN E C4 <br /> A77/9-c, /) .of-72-46 £ /.v 76 ,a&p,eo c^y <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. / DET. I <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ $1)0!� <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: /5/'V/I( 9 <br /> o 'V/I(9 <br />