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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: 6/49 <br /> Total Fee: $ <br /> Date Approved: <br /> Entered By: Permitf: <br /> ALL INFORMATION MUST BE SUBMITTED IfN FULL tBEFORE SPLAN REVIEW WILL BE STARTED • -- <br /> S <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 70; nteS Cv.1`—'4 IE>cia 1g),. N • <br /> ZIP: 553 SCo <br /> (work) Hi14-o30c- <br /> PHONE: (home) ���1� -� 3 OCD <br /> NAME OF OWNER: Orov10 SCI\cc51P �s t c�' 'a7 <br /> MAILING ADDRESS: 1-c)S s O\dr (L 5 13�ti` CITY: Ct2 ( O O ZIP: 35 3G <br /> �cSal ti! <br /> CONTRACTOR: 0'1'o h 0 <br /> r�t \5 PHONE: 6140,: q- <br /> MAILING <br /> 14ovQ--MAILING ADDRESS: cc-100 '1'Q— CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: Ct- D�` �— PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> NAME: REGISTRATION Q <br /> Addition Accessory Structure Move <br /> TYPE eOFm WORK: New Renovate Land Alteration <br /> Demo Remodel/Alteration <br /> hCeSSi a .� <br /> PROPOSED WORK (describe in detail) : Co <br /> COitceSs'o'w <br /> STORIES: ( SQ.\\ FEET OF ::I-°...11 FLOOR: <br /> NO. OF BEDROOMS: 04 - GARAGE STALLS: ATT. W/f'T DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 4.31040-E7 <br /> 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 /> • <br /> DATE: �P ��j <br /> APPLICANT'S SIGNATURE: Al •_ i A - • <br />