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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $_�(��7. U.3 Date Received: <br /> Date Approved: <br /> Entered By: ' 4fA-.d '/Q/ <br /> Permit#• <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o ONTRACTOR <br /> JOB SITE ADDRESS: Lo-r e,, Tife ft"Ib4 Ar ZIP: <br /> ,Q6-5!5 DI &4e,, Hook <br /> g �J ks -Jl/° ® (work) _ <br /> NAME OF OWNER: FA966LU2 AVIV GIrsF.SoG c?F A c.. A244trW PHONE: (home) 5'S77-<°0Z2- <br /> to. f/UG e <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: (�Q j'bl�°(F��/Zl� L±p � PHONE: 4ZC> <br /> MAILING ADDRESS: k"- M\tr, 10$ CITY:Wgj!:a Cis ZIP: 5S'5) I <br /> STATE LICENSE: # ,� B <br /> syfftuN ®°1�� /� <br /> ARCHITECT/ENEER <br /> NGI : jai �r � e�Lcxa� PHONE: -177 <br /> MAILING ADDRESS: ( -, / !a -Q c —T_ CITY: ZIP: <br /> NAME: tt*qv REGISTRATION # NIA <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : e.wW4jC " wek,� Ha&6 �l CW77H& 4-®L: <br /> 41Q &dt4'2 <br /> STORIES: SQ. FEET OF EBCH FLOOR: J b Z l sT'ri a. <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT.—)LDET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2.� . 6 o <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 accordanc with the approved plan. <br /> V? aAPPLICANT'S SIGNATURE: DATE: 1114AZI <br />