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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee : $ /6v)_, (31) Date Received: /0 .1- yV <br /> Date Approved: <br /> Entered By: .U' ;/�� <br /> Permit#: `, <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 ) 'OWNyFR or CONTRACTOR <br /> JOB SITE ADDRESS: /2 00 old c !' S/J J�� 4 " ZIP: 5-537/ <br /> � <br /> (work) 33z -/87-y <br /> .^ �^ <br /> r <br /> NAME OF OWNER: / 1 /14 Jp1 fl' PHONE: (home) '7175--"(4)/ 31-- <br /> MAILING ADDRESS: 854,0 5 f1 CITY: C 1/vZIP: s 3`J/ <br /> CONTRACTOR: c/LiS PHONE: 5*-5 3 r <br /> " /A ` 131 <br /> MAILING ADDRESS: 5 t-�,✓C'b''!' � �� <br /> CITY: L ZIP: <br /> cry 5 i, <br /> a <br /> TYPE OF WORK: New Addition Accessory Structure 17/Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (descri in detail) : ► is_ c N Sal — yr <br /> /)50,,,,,,,./...., ?,,c ?5 4/ 5/.... 01__. 12-. o v } f et S <br /> k, <br /> STORIES: /I SQ. FEET OF EACH FLOOR: L 875-56/ <br /> r <br /> NO. nF BEDROOMS: GARAGE STALLS: ATT. DET._ = <br /> eel tr?- vi,;-7 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 5ii9 , <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 accord an with t e approved plan. <br /> APPLICANT'S SIGNATURE: ( 4--4 DATE: <br /> f 2-(/t <br /> • <br />