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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ - ( /0 Date Received: F-. )-/ - <br /> Date <br /> ' )-/ -Date Approved: <br /> Entered By: ' &(,) <br /> Permitff: �� <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) EF_Kbr CONTRACTOR <br /> JOB SITE ADDRESS: 500 C CZCF*Ar R..A f .JDA) ZIP: 5S 35' <br /> ( ) 1+16-0313 <br /> NAME OF OWNER: I iM <br /> 4°MAS F. AD s/3-AN EjTE L•WFAVgio <br /> HNE: (home) 1-1 � `1q�8/ <br /> Coots�,. i.5 WI ACK) <br /> MAILING ADDRESS: SOo O( Cy/kRb PK. ti-0. CITY: Lo It) ZIP: SS'3SS� <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure X Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : SkAI L-p ACCESS CT R IZ t ©NSI <br /> ekiSLS 6 <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: g&O 47- <br /> NO. <br /> 2NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. 2- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ Z 0 O•DO <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: 9 . DATE: 8-2-1 '�?� <br />