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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permit#: 2 AG 0 <br /> ALL INFORMATION MUST BE SUBMITTED Check-off FULL BEFOORse <br /> Ed N VIEW WILL BE STARTED <br /> (See <br /> THE APPLICANT IS: (circle one) ,`OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 4 SD 'V"`1Dob14I LA.-- 10 ZIP: <br /> (work) <br /> NAME OF OWNER: 'DA V /0 N ) L---SD i) PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: /0 �H - 10A'J P .S�i, PHONE: :47.9- <br /> 4 7 44 Z <br /> MAILING ADDRESS: S a4 l ST IVF 5 CITY: flu J POL 5 ZIP: S 06 <br /> STATE LICENSE: # 59 3- <br /> ARCHITECT/ENGINEER: 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) : 1-FA or---F- et. ( f /,) 74-0 0 <br /> I, ,g r t . i L_I••6 :• <br /> - <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 10 08C) <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 acordance with the approved plan. <br /> APPLICANT'S SIGNATURE: iil"� <br /> f�� � a , / DATE: �f IN/ `7c--- <br />