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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /1, + . ,r + Date Received: SJS/53 <br /> Date Approved: <br /> Entered By: (,, <br /> Permit#: _9/ -.,) y <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 o/ CONTRACTO <br /> JOB SITE ADDRESS: �i X 0k/06i/341 rJcf, Rd ZIP: <br /> (work) <br /> NAME OF OWNER: L.5,1) 2 -2 ? PHONE: (home) <br /> MAILING ADDRESS: �p�j O/(] Cr q/ C <br /> Rei <br /> CONTRACTOR: Pcr k as ono rye,/` <br /> (_ PHONE: 4& -063/ <br /> MAILING ADDRESS: 1010 5, ) 7))P/ - CITY: W, <( <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: •Cs ////e . PHONE: 1 71 J 2._qi_,,, <br /> MAILING ADDRESS: �l 1 L6cs SY CITY: EX C ei<i0'' ZIP: 57r2,?1 <br /> LI E ( y.// �NAME: � � ! REGISTRATION # /q 75 / <br /> TYPE OF WORK: New AdditionX Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : )4/e/.6, `, OX 1.)(7 ly1 Aricy,/ <br /> pi( froiv- h 171./1l <br /> STORIES: / SQ. FEET OF EACH FLOOR: (90e7 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2-2-0/ (9'0(9 <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: DATE: 9 , <br />