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- CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ / /. `f Date Received: �/6 j,/ <br /> Date Approved: <br /> Entered By: (Ji f <br /> Permit#: (, 4/y' <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) `,IrcCONTRACTO <br /> JOB SITE ADDRESS: (0/c Q rcc h 604 P& lc_ -- c3Q ZIP: 5 5 3 SCv <br /> (work) ? j5 -6(/S 7 <br /> NAME OF OWNER: K e_U ► v\. -4 A vu i f c_ L. c, vt � PHONE: (home) y7 3- CO/ ' <br /> MAILING ADDRESS: jo ' S O '�kc ✓J fk zy J CITY: L ty.'t L t k ZIP: 5S 3 S(cL <br /> CONTRACTOR: J o Ir, ►'N. ZZ O PHONE: 5g 0 — \ . <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 3.64311 :).,72, tJ <br /> ARCHITECT/ENGINEER: 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) : R e j3 t c.c. - 1 S n d.P C tL- L.0 A u.l <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ (,,ciOC) <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: it . Ira. r <br /> - DATE: 3 I ' 5‘5/ <br />