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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Tdtal Fee: $ / 3 l(✓ - 6'S- Date Received: ,- //- re) <br /> Entered By: <br /> .� Date Approved: 2`'7- 6 <br /> Permit#: 3/0-5 <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: x4150 Ld O4 kiNef0 D(� _ ZIP: 55 35 (0 <br /> I (work) 1473-3(03 <br /> NAME OF OWNER: f", Ed 03‘41 (ra S PHONE: (home) <br /> MAILING ADDRESS: (1 so wood ► `AUe/o CITY: n ( )too ZIP: 3S(!) <br /> CONTRACTOR: Q L)v\)-Qr PHONE: '4,j1 5 7 i- <br /> MAILING ADDRESS: J-N\C CITY: ZIP: <br /> TYPE OF WORK: New )( Addition Accessory Structure )( Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ` ) LS— D– /o c4-'J <br /> STORIES: f SQ. FEET OF EACH FLOOR: /000 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. Y <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ (000a CO <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 w ' thout a permit; and <br /> that the work will be in accordance with the ove• p <br /> APPLICANT'S SIGNATURE: / DA I% <br />