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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ `7 u Date Received: /J/7/5y <br /> Date Approved: <br /> Entered By: • ,eAA) <br /> ,/ <br /> Permit#: 1/ (0 ai <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 <br /> (c-- �7-ircleone) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 6 ie 0 ` ON Z.7 ' �� ZIP: <br /> � �� I (work) / <br /> NAME OF OWNER: -7/---N l.�0 I (4-07174(4 PHONE: (home) -7f t(q6 <br /> MAILING ADDRESS: 574I\0 .,' CITY: ZIP: <br /> CONTRACTOR: \-\\ C..-- '... .....\"....C-- PHONE: \ L \0%, <br /> MAILING ADDRESS: ,-(Y -b C s9\--N J\-- CITY: \(�l� ZIP: SS--\ <br /> STATE LICENSE: # T3.-'- <br /> ARCHITECT/ENGINEER: <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) : tw STAI-L- 7 5.V.-- k (--(-6(115 <br /> DK) G ('N '�V /1 o1J6 tAi Lltl l INCr- 12,0Otil <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. < DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ L Jd•Db <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 • accord- .ce with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE:\\--A -6\6\ <br />