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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /51 , '1 <br /> Date Received: <br /> Date Approved: <br /> Entered By: 1/,,,,,4) z� <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) (\OWNE)r CONTRACTOR <br /> JOB SITE ADDRESS: // 9-C 1,3% 110k33 Or ZIP: 3-53 3 <br /> Lit (work) <br /> NAME OF OWNER: )i)bV 19 S �`� r /I') PHONE: (home) y 7?/t &,4 <br /> MAILING ADDRESS: -301-- S t Q CITY: MAO) 1/114 >d ZIP: 533f <br /> CONTRACTOR: e I S PHONE: 1-1747 /6 '6 <br /> MAILING ADDRESS: s CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> ition Accessortructure r` Move <br /> TYPE OF WORK: New Addy Y <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : NG-4 Y'A- <br /> STORIES: (f)(e__ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> au <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 900 <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 acct rdance with t a/roved plan. <br /> APPLICANT'S SIGNATURE: '(Lc ,: / / DATE: <br />