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CITY OF ORONO — BVILDIP�G PERMIT APPLICATION <br /> Total Fee: $ / j2 J Date Received: <br /> Date Approved: <br /> .Entered By: XA/ <br /> Permit#: ,,:�5-3l) <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or ONTRACTOR <br /> JOB SITE ADDRESS: 0LbCxy.9_V _ ZIP: <br /> (work) <br /> NAME OF OWNER: O azwn l, S. D,�2��j PHONE: (home) <br /> MAILING ADDRESS: ®Lb Cf2,yS-rAt-81r'r�CITY: L d.,,r6 LA!4 C MAJ ZIP: 97.1-3 SS( <br /> CONTRACTOR: Wt .CA-7C& C0ni-q'r2UC-1 o PHONE: 4-79 _40 SD <br /> MAILING ADDRESS: 300 14c6*wAt S� CITY: ( mfJ ZIP: 973 `K, <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: A-fzc! crcc--ru 2&, PHONE: 4771+-73 <br /> MAILING ADDRESS: WA-7&2 S-M-6W' CITY: GKC4, c11�em t KW ZIP: �s3-3 <br /> NAME: R R k Aij MCREGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : RL-,r-AobC-L 76C[-ttir0L66Z`R2kGIJCC-A-r,Le Or <br /> STORIES: SQ. FEET OF EACH FLOOR: 5EE PLA, } <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <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 /> 0L <br /> APPLICANT'S SIGNATURE: W,(4-CA M5 �c7rt DrJ DATE: <br />