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CITY 0? ORONO ~ BDILDING PERMIT APPLICATION A- <br />5tal Fee; S Date Received: <br />ii^ClwC Jm V cr• <br />itered By;Permit ^: <br />‘JL INPORMATION MUST BE SOBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br />(See Check-off List Enclosed) <br />!B APPLICANT IS: (circle one) Ol'TOER orCCONTRACTO^ <br />}B SITE ADDRESS: AoA 1 Mr>-V\s SKcr<t.___------------------- ZIP: <br />(work) ^73- <br />JIB OP OWNER:PHONE; (home) 4l 7 <br />- <br />LILJNG ADDRESS: 4D bAorVU CITY:----Q)rofNo <br />Dr <br />ut ^ <br />ZIP: <br />>NTRACT0R ^__________________PHONE; 4-14-11 n _ <br />LILING ADDRESS; S Vc>Uer Orcl<L CITY; H><ceV%vc>r -------- ZIP; H <br />PE OF WORK: NewRemodel/Alterati'^nDemo <br />Addition_ _ Accessory Structure_ _ Move <br />Renovate_ _ Land Alteration_ <br />3POSED WORK (describe in detail):~7 <br />3RIES SQ. FEET OF EACH FLOOR: <br />OF BEDROOMS:GARAGE STALLS: ATT.DET. <br />LVBD CONSTRCCnON VALUATION (excluding land): $ 7$Q <br />oreby apply for a building permit and I acknowledge that the information <br />VL ll co^lete and accurate; that the work will be in <br />inances and codes of the City and with the State Building Coue, that I <br />erstand this is not a permit and work is not to start without a perm , a <br />t the work will be in accordance with the approved plan- <br />PLZCAHT'S SIGNATURE —-- <br />DATE <br />im