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Y <br /> d CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 2 3 Date Received: 64/96'- <br /> Total Fee: $ 3 7� <br /> Date ADDroved: <br /> Entered By: Permit': 7 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> ( See Check-off List Enclosed) <br /> ------------------------------------------------------- <br /> APPLICANT IS: (circle one) OWNER or NTRAC <br /> ,THE <br /> JOB SITE ADDRESS: 1 -) 5 Awa- Ov.,N RYD _ ZIP: <br /> (work) <br /> )%N� PHONE: (home <br /> NAME OF OWNER: _ <br /> MAILING ADDRESS: <br /> U CITY: 01?0 no ZIP: <br /> CONTRACTOR: ��C71j <br /> PHONE: -7`}--e-120 <br /> MAILING ADDRESS: ZIP: S>� <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 Remoael/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : q !d Abed VA <br /> 19 <br /> S ea_ CA f AP <br /> STORIES:__j_ SQ. FEET OF EACH FLOOR: S7-6 <br /> NO. OF BEDROOMS: 0 GARAGE STALLS: ATT. DET. <br /> EST114ATED CONSTRUCTION VALUATION (excluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the informatio: <br /> above is complete and accurate; that the work will be in conformance wit <br /> �hah� <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a permit and work is not to start without a permit; anc <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE- DATE: �j <br />