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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Ci Date Received: ,`)4/5'j- <br /> Date Approved: <br /> Entered By: ' <br /> Permit#: 7 ? <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 CONTRACTOR <br /> �' Cgs- �I �; ZIP: <br /> JOB SITE ADDRESS: �o� � r�'f s'T�-L i3✓j Y � 3 3 r��i/a - <br /> (work) <br /> ;AME OF OWNER: /Wade p,,E,vA,e7v S�-/ o'L �/J'%mit i z,73 PHONE: (home) <br /> MAILING ADDRESS: SAiv)): CITY: ZIP: <br /> CONTRACTOR: C n c.rff A /Af7,' C v5j, PHONE: 0 7 9- 7. o <br /> MAILING ADDRESS: // ify/itF7-e ,E A.Hav% CITY:ffF,y j'r'itieZIP: s 3 y,` <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: VVO i-p Agee fr, ,r, r Ae/i.,,-k',o'�s PHONE: z Z 7 - 7773 <br /> MAILING ADDRESS: 6 U -5-7;ee x CITY: 57: 1%94, ZIP: /0 g' <br /> NAME: $C 01,7 /flc 4'L' � �/ REGISTRATION # <br /> TYPE OF WORK: New Addition ) Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : .4 00 i TiawO c 7 c' //2 ' 5 <br /> 7-L' ,—M/_' it/C Sc&et, 9ee 1 ,&A,A L s=s,Ek f'.E'.�SS P 12r <br /> STORIES: / SQ. FEET OF EACH FLOOR: / Z 17' <br /> NO. OF BEDROOMS: /Y/4- GARAGE STALLS: ATT. ��-)- DET. /_H <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ / 2) DcW <br /> hereby apply for a building permit and I acknowledge that the information <br /> ibove 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: /arte/ l 'X'e / DATE: <br />