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" CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /%,'./ ,_, Date Received: <br /> Date Approved: <br /> Entered By: C/'-' <br /> Permit#: X/L/L/',; <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ---, <br /> TuE APPLICANT IS: (circle one) MER or CO TRACT,• <br /> / <<� % <br /> JOB SITE <br /> ADDRESS: /� ZIP: ` / <br /> c � � <br /> (work) / � •- () <br /> NAME OF OWNER: rkt <br /> ' PHONE: (home) 5 '/6 Se <br /> MAILING ADDRESS: / �-tf <br /> /' 1,�' /� - CITY: ()/'1M 0 ZIP: JAS / <br /> �,d <br /> CONTRACTOR: /2((n---0 v ( T , PHONE: ?hi i C-5-74' <br /> MAILING ADDRESS: L, 6 2," T 5 CITY: /il7 771 ZIP: is T 2-U <br /> STATE LICENSE: # ; <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 /> 4 PROPOS WORK (describe in detail) : A c) r n <br /> . p,4 IN i ni bc:>�.J 4 '--0-eve- di-2,244 ,73 • <br /> 7 <br /> STORIES: / ///2- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ S30 U <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 w'7h the approved plan. <br /> APPLICANT'S SIGNATURE: „ DATE: <br />