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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 5 O 2 Date Received: <br /> / Date Approved: <br /> Entered By: /;Y(' '`f 6 P- <br /> ALL <br /> : <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ZnE APPLICANT IS: - w N(circle7one) OWNER o ONTACT,O /' <br /> JOB SITE ADDRESS: ) l S- 1 0-3 M r �� L r'� ZIP: <br /> (work) <br /> NAME OF OWNER: C k JL a 1 1D L LC PHONE: (home) q/2--4 Sb <br /> MAILING ADDRESS: S b.J i 1J t S A-3,0 m &-I- CITY: Oil-0k..) 0 ZIP: <br /> CONTRACTOR: LA t S L A S 61&_j ( v PHONE: 33 - `� S <br /> MAILING ADDRESS: 1 SC Q 0'1\�Y "Die- CITY: GlitAN1-)ASSC-i•J ZIP: 5S3 ( 7 <br /> STATE LICENSE: # L-12__ 3 <br /> ARCHITECT/ENGINEER: M l A PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : Roo c ' c-vv62- DVE✓Z. <br /> STORIES: 2- SQ. FEET OF EACH FLOOR: 80 O <br /> NO. OF BEDROOMS: 73 GARAGE STALLS: ATT. Z, DET. <br /> ESTIMA'T�1) CONSTRUCTION VALUATION (excluding land) : $ Z I '4 � <br /> 0, ^ <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 /> it) <br /> � rf <br /> APPLICANT'S SIGNATURE: - 6r•-'1""' <br /> (�- fit/ �=' DATE: 6 - S % <br />