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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> J 05D Date Received: 6 <br /> Total Fee: $ <br /> Date Approved: w V ��✓ l/L� <br /> Entered By: ' - I <br /> Permit#: 7- 3i <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) P orCONTRACTOR <br /> JOB SITE ADDRESS: \14S W1Nu0S)r' t�KG`VI ZIP: 63-3q <br /> (work) (p 12 7 Z(c S ZS 2_ <br /> NAME OF OWNER: to r 1J, W PHONE: (home)(p (2 q- </SOO <br /> MAILING ADDRESS: I I L J IA), I/Out j1r- SC, CITY: Ji z&L ZIP: SS 3(1. <br /> I <br /> CONTRACTOR: CQI PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ,)-I PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration k" Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : AA_ ftA,5 t✓kC.ta LcJ/A /0 YJase 3'Vr e y1�) <br /> G(C\ \rJ1v,(kQu14 YY104k- 0*N1l00v►1\ tJ(A 1IC bion (O6c1 hpa( k ) <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ M).611?) <br /> S 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 /> PPLICANT'S SIGNATDRE: DATE: ,c / g1`( L <br />