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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ lL ` ,( 'C Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: ...5) /P7 <br /> ALL INFORMATION MUST BE SUBMITII'ED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ,-{Z'S OJ CR\ASTM - t \ ( 2 ZIP: SS 9 <br /> (work) 1- - 08132-( <br /> NAME OF OWNER: .-4\. 1_WwT0),) PHONE: (home) u41 3c1.6 <br /> MAILING ADDRESS: I.0.S 0c-4 Ca2yST44.—6NA R3 .5 CITY: cs o (wQ6CA pArk u4IP: ;5391 <br /> CONTRACTOR: T C e) r2c C N T•R4ekeTiu PHONE: 2-ak- S71 c <br /> MAILING ADDRESS: 0,0S CCS icU 19 CITY: m OO.,LD ZIP: SS3 6 y <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: "tikc, Cr'12a 'S QM: PHONE: LckaL5i 1� <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration K Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : tiCe o C 6»M iNX;) (wcvw. ICAer\cL.4 tiR • kA LL i•� <br /> i A� 5.6K1)-!• P&D Z 15K-11 W,ry da S k a� t6C.1t <br /> STORIES: `Z— SQ. FEET OF EACH FLOOR: --- <br /> NO. <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. -- DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ LI S,00:"a' <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: C c P DQE` DATE: S-,q-q3 <br />