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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> , � <br /> �ru����� �' '� ��'� ��� � Date Received: j��/�7 3 <br /> Tota.l Fee: $ �h�.- , <br /> Date Approved: <br /> Entered By: - -• � -> <br /> Permittt: ' � ? <br /> ALL INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OPTNER or CONTRACTOR <br /> JOB SITE ADDRSSS: t��3 �f} LINDp �YE �RG�A�D ��� ZIP: SS3C0/ <br /> (work) <br /> NAI� OF OWNER: ],�p'�a � �, �/�S PHONE: (home) �0107' C✓ IR9 <br /> MAILING ADDRESS: �e��� FR�11yC� l'T�' �_ CITY: �j�1�R MI� ZIP: S� �{�� <br /> CONTRACTOR: JONAIc � $�D�A�f54� �UlLD//�L(. C.a ���G PHO�= ���r ��5� <br /> MAILING ADDRESS: 13�4�5 ?'t'� P��� �I.o CITY: 6��n�.'� �O�E ZIP: SS3 � I <br /> STATE I�ICENSE: � �p�q� <br /> ARCHZTECT/�x: Mir1N�-a�l�� �Esi��( PHorr�: r'I'3y- �`�`ft� <br /> MAILING ADDRESS:�� ��`vr �D� ���TY 1"}I�1�4�11tSS�I�L �IP: 5�31 7 <br /> NAME: �' REGISTRATION �r -��' <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �,�� nAlS7Rt3GT�0�'^ ���G� '�p'�1 L�l <br /> �'�F�C�.D L�f�+4 6� >>:-P-�d'S���a._,���._.,.,.� <br /> . <br /> !I Q� �1A��N <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: �Dy�,G�p ���7 �� �'i�/�S�iT7 <br /> NO. OF BEDROOMS: � GAR�IGE STALLS: ATT.� DET. <br /> ti <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ [ t��i� <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 permit and work is not to start without a permit; and <br /> that the work will be ' accordance w'th the approved plan. � <br /> APPLICANT'S SIGNATIIRE: DATE: 9 f.3 <br /> ���yL, -�1����N <br />