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s . <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br />(de Total Fee: $ /0.`.1()0 Date Received: _9/2.9 <br /> Date Approved: <br /> Entered By: /}v <br /> Permit#: vC / <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) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: /17.5.- �✓,/�ocv b roo t; '& ZIP: 55:3 / <br /> (work) <br /> NAME OF OWNER: Pi PHONE: (home) <br /> MAILING ADDRESS: //7,5' hli//owbi e- CITY: OgelfO > ZIP: .5-5-3?( <br /> CONTRACTOR: �i/4O7i4`1 L �Oo�/S/'udF4tV �/ 'c - PHONE: V70--//e2 <br /> MAILING ADDRESS: /7F/7 .i4vy 77 CITY: /nfic',� 444/: ZIP: �,s3ys <br /> STATE LICENSE: # ZI%o.V <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration R novate Land Alteration <br /> riRc-Roo0 <br /> PROPOSED WORK (describe in detail) : (e oie_ a_t( E76-5i4t)1 l`dvF`w {era-c <br /> 6.^1 Ot. -e I . / t?-cam ' (•..% �ES 1 bwtbzPl:�� e Jq- w� St.e;ic( 4c <br /> Se-c( cc-I" S*ar4eA CL- po+f-oNk 42.1f it v F F-00P- p( lou j� <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ VcnrQ' <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 ith the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 4r�IG -9 3 <br />