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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �3 � ' <br /> ��C Date Received: <br /> Date Approved: <br /> v <br /> Entered By: -// <br /> Permittt: J .53�' <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: - b ) `� C�y57�'� 1�1g y �y14/,I ZIP: 5- 3-5 <br /> nn (work) `f 7 3 - 7 31 3 <br /> NAME OF OWNER: rZG ( � f SL' Z 7 PHONE: (home) <br /> MAILING ADDRESS: �i &-V U�Y574L T3V9`f T C CITY: L oIV& 14K-(- ZIP: J 3 S 6 <br /> CONTRACTOR: M �' 5 F-00 FI r"&, PHONE: 7 g 0 -g5 Z- <br /> MAILING ADDRESS: IVIS 1� A/ CITY: 13 L,gI'� 'L ZIP: J L!3 <br /> STATE LICENSE: # /V/4 <br /> ARCHITECT/ENGINEER: PHONE: <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 /> PROPOSED WORK (describe in detail) : L�OV�`' Z 5e Cy <br /> rzoo r X7 opuoNa /11 /dDL-e- .56�jo0LL <br /> STORIES: SQ. FEET OF EACH FLOOR: . <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 5 U, Uuy <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 in accordance with the approved plan. <br /> .APPLICANT'S SIGNATURE: / �L � DATE: <br />