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I 1Y <br /> • r j �. <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> r <br /> Total Fee: $ � �J � Date Received: 9�SF�9�-- <br /> �/` Date Approved: <br /> Entered By: ' / <br /> Permit#: `1�/(� <br /> ALI. INFORMATION MIIST BS SIIBMITTED IN Fi)LL BEFORE PLAN REVIEW WILL BS STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: �-i-IJ(D � I ���O O� t\� � r W���l��IP= ���� i <br /> (work) <br /> f � ,,/) <br /> NAML OF OWNER: i�pt N� S �l l�C�� � r�� UT PHONE: (home) <br /> � - f �p� 1MOU1�CITY: �(�U� � ZIP: <br /> MAILING ADDRESS: �I.�i � _���1�100� �d <br /> CONTRACTOR:�['�l�C�h� �- VV ����� PHONE: 7' 7�-`��`1'7 - - <br /> MAILING ADDRRSS: ���p �14f�(,()(k1d U��. CITY: �C'u� 1!� ZIP: �s <br /> STATE I�ICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> __._.. <br /> MAILING ADDRESS: ..-_-__._ CITY: ,_-__._--__... _ -ZIP: <br /> NAME: --- -�""`�� REGISTRATION _ <br /> �_ <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate_� Land Alteration <br /> PROPOSED WORR (describe in detail) : �S d��C/`h�D�� /�V t I�A 1' 1 l��� <br /> i 'o � � e — � � ' l � <br /> � � � ������ � <br /> STORIES:�,_ SQ. FEET OF EACH FLOOR: ���� � <br /> NO. OF BEDROOIrIS: GARAGE STALLS: ATT. DET. <br /> -� dD <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $��5��� <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 2 <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. • <br /> APPLICANT'S SIGNATORE: V DATE: `P � ' 7 <br />