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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 7 t �T Date Received:— <br /> Date <br /> eceived:Date Approved: <br /> Entered By: p <br /> Permit <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 or CONTRALTO <br /> JOB SITE ADDRESS: 0j59610 o�IA`ik LD*4b ZIP: 55 3Sh <br /> (work) <br /> NAME OF OWNER• $ i.�- L',AT00 PHONE: (home) 1416 - �- <br /> MAILING ADDRESS: 3 t-zx -�qm c��Oma CITY: (oyb LAV,(v MrJ ZIP: <br /> CONTRACTOR: -rNE, CA2PcpTfatl�! Q"TrLA(TINb 10c . PHONE: 'i")�- 0r,5 <br /> MAILING ADDRESS: l i Gl� r-T-A �Q 19 CITY: ZIP: � (, <br /> :'TATE LICENSE: # <br /> ARCHITECT/ENGINEER: TN6 C,kU6&J %r4,5 CcwT%AMv-4b lYJC_ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> Nom: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration -,v,. _ Renovate Land Alteration <br /> PROPOSED WORK (describe in\ detail) : 566 krc,Ackib,'� ScaO (&y� iu1VAhQWbn 4LLy4,.)& <br /> Sou-, vp YY'(Sc-- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $i -5c)"WC --- <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: Q �(t„ �'„"'} � �, DATE: <br />