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CITY OF ORONO - BUILDING PERMIT APPLICATION. <br /> Total Fee: $ q si Nj®. /2' Date Received: <br /> Date Approved: <br /> Entered By: /04 Permit#: (04,33 <br /> ALL INFORMATION MUST BE SUBMITTI) IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or ONTRACTO <br /> JOB SITE ADDRESS: 425- Old Cry 4 I QC, ZIP: <br /> (work) <br /> NAME OF OWNER: Ju/,( 4- L,Sayi1 PHONE: (home) <br /> MAILING ADDRESS: ';')..S.- 01e) CxygLI ( y ad. CITY: ZIP: <br /> CONTRACTOR: '9e 'fes, 6.0^5+ Ca.vl ,r- PHONE: Liq -s-S53 <br /> MAILING ADDRESS: 2T)L/ ) r\iver14-y A-�/. N.C. CITY: rS4414► ZIP: 0140 <br /> STATE LICENSE: # DQ(731IQq <br /> ARCHITECT/ENGINEER:/44-0.01,4 Yvnl, a-- o/TEerv,zo. PHONE: 3 7/ - 9/or <br /> MAILING ADDRESS: 41/ N. t me,Hi,/u/m i Ave, *of CITY: itf//✓NEffg9NS ZIP: 1-6-117/ <br /> NAME: tif.sn rrFP Pl'^'KREGISTRATION # )LN l a <br /> r <br /> TYPE OF WORK: New Al Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : I\LI,J S i.‘1I,- rAet i <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: el)1e /,/ u J (,.Jicr G roo <br /> z 40 z cors <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. V DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ Ing O 000 13° <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: Lace `� DATE: 9'6-9g <br />