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e1% <br />CITY OF ORONO - BUILDING PERMIT APPLICATION <br />Total Fee: $ 5- e Z, <br />Entered By:' <br />Date Received: l0 Qy I <br />Date Approved: 16 - 30 -biz.- I <br />Permit#: AL ti <br />ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br />(See Check -off List Enclosed) <br />------------------------------------------------------------------------------- <br />THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br />JOB SITE ADDRESS: C Z7 n 1 ZIP: ``,:: ,J� I I I <br />(work) <br />NAME OF OWNER: --rl M J U HAV „U 0 PHONE: ( home ) <br />MAILING ADDRESS: b2-7 &Pj DAU- CITY: ZIP: <br />CONTRACTOR: PHONE: y7 - Sys <br />MAILING ADDRESS: I :-,U . Jk Z `: o CITY: zXW_4- Akf— <br />STATE LICENSE: # <br />'MiCHITEf�WENGINEER:_ X <br />ZIP: `'r 3; C, <br />PHONE: `l13 Sys <br />MAILING ADDRESS: Dh 2t9 CITY: &,ve, 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) : AIV6 /�L�fief}TIGN �O,c <br />Uc. 61&1 ( <br />STORIES: <br />pKP /nJ /`►G <br />SQ. FEET O <br />W5� <br />e <br />F <br />NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): $ L2DD . <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 conrormance 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 accgrdance with the approved plan. <br />APPLICANT'S SIGNATURE: / ' (� �' , %c DATE: <br />