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, • CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> . .' � In�. t� <br /> Tota� I'ee: $ , �� � D Date Received: Z- 3'�(7� <br /> Date Approved: <br /> En�ered By: �/ �j <br /> Permit#: <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o�ONTRAC-0� <br /> JOB SITE ADDR$SS: �� �-� J� �-1 S�G�,tl 1'V � ZIP: �5��""�� <br /> (work) <br /> NAME OF OWNER: J I�(� '�-�T��i!P PHONE: (h ome)L�`(�('`1O(q <br /> MAII,ING ADDRESS:�ISS�'5������� � CITY: �>V���� ZIP: ����� <br /> CONTRACTOR: �-}� Cf�ROL��.1 �'� �o+v" �,�►<.�, �� � PHONE:"t�]L-'�'� f '� <br /> MAILING ADDRESS: �(US �� � I'�`I CITY: D�JN ZIP: � �3 . <br /> STATE LICENSE: # �'��1 i> , �`t.:=� <br /> ARCHI TECT/ENGINEER: z � PHONE: -�-'7 2-(�f�( <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition � Accessory Structure Move <br /> Demo Remodel/Alteration �- Renovate Land Alteration <br /> � <br /> PROPOSED WORR (describe in detail) : �t� 'j�u(ZOrJM� �'��� ����c �� <br /> �I K c�/ �LS�Ul7i-i-ZZ_ �1 '2(��� �-!�}tl iU���. <br /> ._ —� <br /> STORIES:� SQ. FEST OF EACH FT�OOR: I 7�C �'T�L_ , <br /> NO. OF BEDROOMS: — GARAGE STALLS: ATT. � DET. � <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ Z 100, OOa, at� <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 I <br /> understand this is not a ermit and w is not to start without a permit; and <br /> that the work will be in ccordance w th the approved plan. <br /> �% , <br /> APPLICANT'S SIGNATORE: �-C-'C�� DATE: 1 '� <br />