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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /, r7 5 .&3 Date Received: /02- /D - 7/ <br /> Date Approved: <br /> Entered By: ( A) <br /> Permit#: /.`/S',2, <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: b d C ' �,S 14L .M1 r2D ZIP: <br /> (work) 334/-.3110 <br /> NAME OF OWNER: ' S a cJ (") /..\ y T'b l ) PHONE: (home) 17/ - 6 ill 9 <br /> MAILING ADDRESS: i L55 Nt CITY: 1„ x i-a. ZIP: 852?! <br /> CONTRACTOR: 5e__;c- 5 C-clo St c. PHONE: 6/1 - 3437-:114 j5 <br /> MAILING ADDRESS: t\4 c 1151 Avg, tp.t. CITY: Fo/e-y /Jjv„ ZIP: 5t3 . �1 <br /> TYPE OF WORK: New • Addition V Accessory Structure Move <br /> Demo Remodel/Alteration 0 Renovate ✓ Land Alteration <br /> PROPOSED WORK (describe in detail) : C ci ,DA f) 1 F h c C S r- <br /> STORIES: SQ. FEET OF EACH FLOOR: 51-. ) 3'oy ,;� Nel, 5 S <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. IOW DET._1_ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 9.5c)/ pop . o v <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:le# <br /> DATE: /02 -/D - /q/ <br />