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•44 + CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /u ./S Date Received: .s5 -?f - 7 7 <br /> Date Approved: <br /> Entered By: */""/:7. ) Permit#:a:5-c)Ye) <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) !•^ 1110 <br /> .r CONTRACTOR <br /> JOB SITE ADDRESS: gr-K0 0/e 64' LA:- £Ge- ZIP: .„1.)--:5--3/ / <br /> (work) 'J <br /> NAME OF OWNER: f��.�1i' aG ez:-.� PHONE: (home) `r4 77-17 <br /> MAILING ADDRESS:lrc /1 /4 !r ,,„i6: CITY: Z{f,AtU z.44 ziy. ZIP: 17;37/ <br /> J <br /> CONTRACTOR: 61, ),2,c_ PHONE: 1/7.3J - 773 7 <br /> MAILING ADDRESS: 2' e D/eil .1,7. j#,, G' CITY: f‘,/.72./.% ZIP: „5---127y <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: jloA:/✓ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration ) Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 4/Fhtl JX 7- e64, 2c- ic7 ..5; ;17,-, <br /> .- .4s ,C tie,„ 4,J, Q p.0 2 n.c/ <br /> ARL <br /> STORIES: / SQ. FEET OF EACH FLOOR: /..spa -,J EP-441) - 14..5yt•49-4 <br /> NO. OF BEDROOMS: ?3 GARAGE STALLS: ATT. 2- DET. `� 6o _ 71- `4,4 /47r <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ IS aa . " <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: 41,' - DATE: .a .27 -1,4 <br />