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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> "- <br /> Total Fee: $ 164% 93 Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: /401 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> C <br /> JOB SITE ADDRESS: &&c (9I 6 / 06, /CW ZIP: 5573I <br /> (work) 34-rJ//6 <br /> NAME OF OWNER: ,46.00.aryipifPHONE: (home) <br /> MAILING ADDRESS: TGA 7 W Q -.S(7/TE&t CITY: /,///tL' 3 ZIP: ,5,;S O1 <br /> CONTRACTOR: SIFF GLS F4 .e - \ F3 ,S gL77 6+0 PHONE: 6/A 347 y/J <br /> MAILING ADDRESS: 1)4?O f/S44 /4v .. 40E. CITY: ,eY05 <br /> � Rol ZIP: 33 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration )( Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 0c9l/Q4) /eiSTv 6A1 <br /> STORIES: SQ. FEET OF EACH FLOOR: 14/ 93 D'I AWAVY ASO <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ,c0/cOO <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: /I, I ,,i DATE: /01/150,6V <br /> (Please f ll out the everse side of this form) <br />