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• <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ ' „7 93. f 3 Date Received: <br /> Date Approved: <br /> Entered By: '/CAJ permit <br /> 1 <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 /> JOB SITE ADDRESS: 825 014 Crysrsa,( &5 �&ad CO 47 z4-r/i-- ZIP: ,53 3y <br /> (work) 33‘-/- -3/i0 <br /> NAME OF OWNER: Jud ) tbn PHONE: (home) 97 3 36nL <br /> MAILING ADDRESS: S:4J- cid fw' Ira ' d CITY: V V A y z/f-TA- ZIP: ,53-30/ <br /> CONTRACTOR: ¢?oN./VD J. LEr-L -#< PHONE: Cc 12) OP 7- 2'1/6._ <br /> MAILING ADDRESS: who o / lJfL /-t1€ AiE. CITY: Fo L E y ZIP: r-[i✓ <br /> STATE LICENSE: # 0000 249(0 <br /> ARCHITECT/ENGINEER: s e /7 rQC H-1 re i rs PHONE: 3'AT- 0 3 3 C <br /> MAILING ADDRESS: 3zS- 2rJ Au-c- fiJ , CITY: }-f inr►e qo/,S ZIP: k.%140/ <br /> NAME: REGISTRATION # 0130q$' <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration \/ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : Scc.,. ,1214.e/01�r► r <br /> STORIES: 2-- SQ. FEET OF EACH FLOOR: ISI f l v c r 121 L 1,.-.A } 'Z o c r- he <br /> NO. OF BEDROOMS: 2- GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 130, 0o ' • c'`' <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: 73-1 _ , _ DATE: S- 3-Y 3 <br />