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. CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> t C, ` , - Date Received: ?ii/A' <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: • Permit : 71 )4 '7 <br /> ALL INFORMATION MUST BE SUBMI'1J IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle cn L`C.�c lED2rVi•CONTRACTOR <br /> JOB SITE ADDRESS: <br /> l/ \S C�UQ� ( ZIP: 33-{ <br /> (work) g`t f ‘hr. <br /> F. '� r ' PHONE: (home) (+77 -as- <br /> NAME OF OWNER: <br /> MAILING ADDRESS: l kaS (-4,g (4,,,Ver PA rt0 CITY: 0 (U 0(A4 a ZIP: £ S3 54' <br /> CONTRACTOR:_ <br /> ..cSC) inNfT ©ANi PHONE: <br /> MAILING ADDRESS: S) (YifL as ,Q3( v <br /> CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: GJ37PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE WORK: New <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> 4 I c( <br /> PROPOSED WORK (describe in detail) : p 1 3 >< A I ? p n.Ct< <br /> 4-T7404r ) Th 14 (1Vs6 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $____Lailt==== <br /> hereby apply for a building permit and I acknowledge that the informatic <br /> th <br /> above is complete and accurate;heandw th the State <br /> hat th <br /> ll be 1n conformance Building Code;aithatr <br /> ordinances and codes City permit; an <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accord- •e I <br /> h the approved plan. <br /> APPLICANT'S SIGNATURE: <br /> DATE: 2:-L- �"f- <br />