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1 <br /> CITY OF ORONO - B1 _LDa.NG PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: 3 /) S/ <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: `5 Wiqlattoslet L4 ZIP: rc 3i' <br /> (work) <br /> NAME OF OWNER: L e 5 I i c C( pp c V PHONE: (home) 9 7 2 - Z 16"`I <br /> MAILING ADDRESS: 1'10 U%.Kd)4 n - CITY: 744(441ZIP: S rT6‘ <br /> CONTRACTOR: 5k41/4Yvi EK/ JhC. PHONE: y79"tyle <br /> MAILING ADDRESS: b .°C)" 1419 4i4/47 I Z CITY: tuy�c /9/eo'l ZIP: .53-3 ) 9 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : TC'"' c{f tic 5"4 4e5. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /07. 0C> <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: /9" " - — DATE: --fO , ?/ <br /> (Please fil� <br /> out the reverse side of this form) <br />