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• CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ‘),y.2_,a <br /> Date Received: <br /> Date Approved: <br /> Entered By: • permit _5/,Z(., <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: ' C 0_1_ t«-/ 1'= ZIP: 5-(;- ) <br /> (work) <br /> "t, N / i (A-�� PHONE: (home) '-1 7 S.-, L�-s`/ <br /> NAME OF OWNER: �.� t. �'-�-� <br /> MAILING ADDRESS: ?=3C; (7-6 U,I.t' z,l-Ot"' '�' CITY: lt.c,) ZIP: <br /> J <br /> J <br /> CONTRACTOR:C-t t_a_Ci-v--( 13c:.:.�,'er_ <br /> - .c� F' PHONE: 4-0� 36 S_T, <br /> % �� ZIP: 5�5 , c <br /> MAILING ADDRESS: <br /> 4-7,- <br /> C �' `1 / CITY:( 'Cz ct.,�� <br /> STATE LICENSE: # -11 0 C O0 ' / ,-9 7 <br /> ARCHITECT/ENGINEER: )1. c,,Ce 't"--t-'< PHONE: 53 - L;2 Si5 <br /> MAILING ADDRESS: 11- °� CITY: ZIP: <br /> NAME: 1,2,6.3,_A--- g_C-1 ,-- -K REGISTRATION # <br /> TYPE OF WORK: New Addition X Accessory Structure Move <br /> Demo Remodel/Alteration X Renovate . Land Alteration <br /> PROPOSED WORK (describe in detail) : C - L 77 -3 ---7,-,-t, --e-t -Lc- �t 0--c._--v- <br /> _--C-A__-1/4_ ,O, , ix. _-,4_,,c-r3---- '"1-- -"Ls--,9-4_- ,----/C( C-C_c__(4.-C.,_7 tek __,„t e_r__f___ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ // 300 -------- <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 with the approved plan. <br /> APPLICANT'S SIGNATURE:' ) <br /> 9- ' DATE: -�/`� `/ 3 <br /> J <br />