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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 3 51 ,,( -S' Date Received: <br /> ^� Date Approved: <br /> Entered By: Permit#: 3C,6, <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: 46-0 L)o op A \\ ZIP: 553Q <br /> (work) <br /> NAME OF OWNER: LAY 1►v 1 FAST h4) PHONE: (home) <br /> MAILING ADDRESS: \SO U.)00 D X2-1? • CITY: C2 Q-0 v c ZIP: <br /> CONTRACTOR: L-P►vto STYLE tlow IkkAo C c'JIV51= LTY) • PHONE: 1 86c, <br /> MAILING ADDRESS: r 1 d.97 LAwW ? L� l.4..i- CITY: IN/Wt.-a- b/2 ZIP: 553!6 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land A teration <br /> PROPOSED WORK (describe in detail) : fU9("E_ <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2e coo <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 a• - ordance with the approved plan. <br /> APPLICANT'S SIGNATURE: \'\ 1k_ DATE: " I `0 <br />