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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ _65. "75— Date Received: <br /> Date Approved: <br /> Entered By: . A4 <br /> Permits: 4;A / <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) or CONTRACTOR <br /> c� <br /> JOB SITE ADDRESS: 2 ) / 1 '/J P ZIP: 317 <br /> 1 (work) <br /> NAME OF OWNER: Pc .344 / It /J u PHONE: (home) <br /> MAILING ADDRESS: (-4-73 1 � D � i�v t' <br /> CITY: 'Q)yz4/47 ZIP: <----c:1-1c( <br /> CONTRACTOR: S4Q v1 P PHONE: <br /> MAILING ADDRESS: -C4 ✓1/ CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: Sd1 4, P 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 /> Ofd fbc) <br /> PROPOSED WORK (describe in detail) : P4 {) <br /> PC/ 46 ) 10 t- bt ( 7e <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. /apo .cry <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <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 SIGNATQRE: i-2t3--144 -4I/III;1 DATE: <br /> 3 cd Ilxw <br /> . . <,cif? <br />