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tIvo <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> • v p <br /> Total Fee: $ ��d QS Date Received: 7A: I9J <br /> Date Approved: <br /> Entered By: •X/L) _ <br /> Permits: 3 '7I <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTY.D <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 860 L Ytal On tr LA ZIP: <br /> (work) 5,kmE <br /> PHONE: (home) 71 - 33 i.tr <br /> �iA<*� OF OWNER: bap\ Kehl �t <br /> .SAILING ADDRESS: 860 L)1148 `lal+d+r� <br /> K. CITY: Omni!) ZIP: <br /> CONTRACTOR: , G Ioi 1<i1J Couci, PHONE: -13611 <br /> MAILING ADDRESS: *� CITY: ZIP: <br /> STATE LICENSE: $ 7(iL_ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION a <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration c Renovate Land Alteration <br /> ?ROPOSED WORK (describe in detail) : -,_,.,- d- ► - b *" _ 4 • 1 <br /> be i <br />,TORIES: SQ. FEET OF EACH FLOOR: <br /> :O. OF BEDROOMS: GARAGE STALLS: ATT. ) DET. <br />"STIMATED CONSTRUCTION VALUATION (excluding land) : $ cird,2-Z '00 <br /> hereby apply for a building permit and I acknowledge that the information <br /> )ove is complete and accurate; that the work will be in conformance with the <br /> ::di.nances and codes of the City and with the State Building Code; that I <br /> nderstand this is not a permit and work is not to start without a permit; and <br /> zat the work will be in accordance ith the approved plan. <br /> PPLICANT'S SIGNATURE: <br /> DATE: dr-2 `57 <br />