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A CITY OF ORONO - BUILJ)IING PERMIT APPLICATION <br /> Date Received: ..„5/4,26,/45- <br /> Total Fee: $ 61/7_3 ()'7 <br /> Date Approved: <br /> Entered B y: •,(�j Permit 4: <br /> ALL INFORMATION MUST BE SUBMI2T.1) IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------- <br /> THE APPLICANT IS: ( circle one)/ /OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: <br /> wD,dL11 161 �2I U) 4//7 ZIP: 5-53 71 <br /> (work) 2'2- e7S�' <br /> NAME OF OWNER: vv/ / (-1 PHONE: (home) 773-5-72 <br /> MAILING ADDRESS:" /37 X-)00 Af// ed. CITY: C/,(0t(U ZIP: 553 J7 <br /> CONTRACTOR: ' <br /> /;;;),, ,v7r- mN - 'v/ SFr., LiG. PHONE: 7 " eit 7Z <br /> MAILING ADDRESS: 1Z0 J L,X cl # Avf S _ CITY: (:::-. /(7/4_5 / C ZIP: 532// <br /> STATE LICENSE: # 3q 7 2 <br /> ARCHITECT/ENGINEER: •y <br /> ey <br /> PHONE: f)'7- $/33� <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> NAME: REGISTRATION A <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) :f;?//AW /< -51.04i/471 /5 /4(.5-,54.4/"Ii <br /> i <br /> STORIES: G- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. Z DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> -5/9 /L <br /> hereby apply for a building permit and I acknowledge that the informatio: <br /> above is complete and accurate; that the work will be in conformance withathe- <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a permit and work is not to start without a permit; anc <br /> zhat the work will be in accordance with the approved plan. <br /> Qj ; <br /> APPLICANT'S SIGNATURE: /ji, t l 'Gt/fYi DATE: <br />