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• <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ &/114-56 Date Received: <br /> Date Approved: <br /> Entered By: (A, Permit#: 'j 369 <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: 795 OAU CAy5i/ L- 611y 24i1.o N ZIP: SS 354, <br /> (work) 4'73 -2 3/3 <br /> NAME OF OWNER: OP-ONO SC/fJoL5 /52) P Z 7 3 PHONE: (home) '/7 3 - 7 313 <br /> MAILING ADDRESS: b5 a L, (!g-374-t- t3ny 20 CITY: v/Z c'/✓' ZIP: .5S 356 <br /> CONTRACTOR: 14/1 4' 5 1204)Ft i)6j /N C PHONE: 7 170 - ' S Z `13 <br /> MAILING ADDRESS: JOS- ?? t('' L4NL CITY: et-4(N(j 414 ZIP: 5SYV 7 <br /> STATE LICENSE: # N//9 <br /> ARCHITECT/ENGINEER: 4(L o iv o l 5 e/w u�S 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) : TeA R ©r(- el Nn 2e PL 4 ce 3 5e c 1'a ivs <br /> OF O- dAi 04,040 MP/ $ CifvvL- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 55 000,00 <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 /> � L <br /> APPLICANT'S SIGNATURE: va— �l� '�'�' DATE: 71 6/93 <br /> 3 <br /> /II 4- 3 I oepob, pvc, <br />