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+" . CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> "' Total Fee• $ ') 7 D • t 6 Date Received: r)--i <br /> �t V <br /> Date Approved: <br /> Entered By: • 14 <br /> Permit#: Yo2 <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) AVAMPor CONTRACTOR <br /> JOB SITE ADDRESS: Irlc c514 C 7cQ, k ZIP: &j3S(0 <br /> (work) <br /> NAME OF OWNER: ORoi 5c-1N ) s .2. g PHONE: (home) 9 •8300 <br /> MAILING ADDRESS: cogs Old ('7/S14 i tzk o CITY: 0(2.0 W0 ZIP: 55166, <br /> CONTRACTOR: \ICOr 16h1 qez_vct £ �41kv‘aot - C v.9 ',n. PHONE: <br /> hi"...4,; - <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: € C)3 PHONE: 47q- Xce <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: flax t- ((((C1 <br /> §11A `J REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ( 4A 1 1 .00=, /t0.` NA's `oi"e.4L_ <br /> t- ak j 4 ho)oq a.Je< Y1bQo Pcoor Sh1"-S, <br /> STORIES: SQ. FEET OF EACH FLOOR: UP.O We 3 CcJC <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 63I34 0 <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: '7'r'-I• Q`i <br />