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crn OP ORONO - boilding permit application <br />Total Fee: $Data Received: <br />Date Approved: <br />Entered By:Pemit #: <br />ALL INFORMATION MOST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br />(See Check-cff List Enclosed) <br />THE APPLICANT IS: (circle one) 0^'fNER or (^NTRACTC^ <br />JOB SITE ADDRESS: - - - - - - -XIP: <br />NAME OF OWNER: A. --- - - - - - - -- <br />MAILING ADDRESS: ^T. <243 _ CITY: DeoAJO <br />(wor)c) ^*1 <br />PHONE: (home) ^ <br />XIP: <br />CONTRACTOR: t o^4.C>» PHONE:—O- -1—^ <br />waLINC KDDRESS; i^too CITY; AtoutK --- <br />STATE LICENSE: <br />ARCRTTErT/ENGINEER: ^iVv^ CJt^AO\-X <br />MAILING ADDRESS :VA AuU. hJts, <br />NAME: »iiov>.Q _ _ _ <br />_ _ _ _ _ _ _ PHONE; <br />CITY; _ _ _ _ _ ZIP: <br />REGISTRATION ♦ feTW3 <br />TYPE OF WORK: New X Addition <br />Remodel/Alteration_Demo <br />Accessory Structure_ _ Move <br />Renovate_ _ Land Alteration_ <br />PROPOSED WORK (describe in detail); k3^ WJ <br />'^lexp j)am.a «ue._____________________________— <br />STORIES; ^ SQ. FEET OF EACH FLOOR:_l4cS_______________________ <br />NO. OF BEDROOMS; 3 GARAGE STALLS: ATT. "S—BET. /^<> <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1^0. ^eo <br />I hereby apply for a building permit and I acknowledge that the <br />above is complete and accurate; that the work will be in conformance with th <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; ana <br />that the work will be in accordance with the approved plan. <br />APPLICANT’S SIGNATURE:DATE; Z\