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i > <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � r - Date Received <br /> Total Fee: $ � N-- <br /> Date Appro ed: <br /> Entered By: 272 Permit n: 76/0 <br /> RMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REV WILL BE STARTED <br /> ALL INFO (See Check-off List Enclosed) <br /> THE APPLICANT IS: (ccl�jiluone )�,coy OWNER or ONTRACTOR� timer Q to y 3'193 <br /> � <br /> '_' Cs 3�[ <br /> JOB SITE ADDRESS: ' 9 , ,6 ue-st, a. ZIP: 7 <br /> House 7 ZSS1 <br /> (work) 7 ��� ., ,y <br /> ' . • �q , & (1 PHONE: (home <br /> NAME OF OWNER: ,Y` f� /� � �( ZIP: S S �j <br /> G ADDRESS: a� / 2 B i d CITY: 4 Ly t tL%4 _ <br /> MAILIN ,--- � f �/ �/ <br /> L /k e w bo De v�e 10 (, ea PHONE: 47 5 _ S�b <br /> CONTRACTOR: !—�' <br /> CITY: ZIP: <br />)(-- <br /> MAILING ADDRESS:STATE LICENSE: <br /> n!- M <br /> p,RCHITEC /ENGINEER: 4P() te Sc ! Y tftsw. PHONE: y7114ZZz <br /> CITY: �a. ZIP: 2il - <br /> MAILING ADDRESS:__________________________ <br /> i d I <br /> NAME: <br /> G e S G f�L 44 REGISTRATION # <br /> Accessory Structure � Move <br /> TYPE OF WORK: Ne� Addition Land Alteration <br /> Demo <br /> Remodel/Alteration Renovate <br /> PROPOSED WORK (describe in detail <br /> # w".1 kvtiI- <br /> aCO <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: <br /> GARAGE STALLS: ATT.j_ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the informah tion <br /> above is complete and accurate; that the work will be in conformance withathI <br /> ordinances and codes of the City and with the State Building Code; <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 /> i <br /> APPLICANT'S SIGNATURE: <br /> l % <br />