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liliff <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 4 �1 95.6 6o • <br /> Date Received: <br /> _ Date Approved: <br /> Entered By:27A) <br /> Permit#:_5-7`kg. <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) O1CONTR CTO <br /> RA ‘a <br /> JOB SITE ADDRESS: '3 S OK.0 41W) 10,14-1.4_ . ZIP: SS 35-(40 fk 1C - a <br /> (work)(/Z)1/7Z-s5- <br /> NAME OF OWNER: L 1oiL(iy A . A.wd S0501141 04 • kW6E Z.5Uki PHONE: (home(/Z)y72- z ."2--- <br /> MAILING ADDRESS: Vzk0ak 51+32z-(,,,_iouv) C ,Wi ITY: /10141LS 11 ZIP: ssso, y <br /> CONTRACTOR: ?; V C_ I4OW 1 ES PHONE: L-/7 Z-L/7Z 1 <br /> MAILING ADDRESS: 1--/(090 01 Alurr0(,(- CITY: Tj ulk, r&i-/ ZIP: 5S33J <br /> STATE LICENSE: # 000 -7(o S-0 <br /> .CHI TECT/ENGINEER: )�'Zi G N l R-A--01 TKTNS PHONE:6:07)6�i)(, 7f- I (1O <br /> MAILING ADDRESS: 1 too A S14-t^.1 ooto P k J'/ CITY: /�7z441V74- ZIP: 30338 <br /> NAME: REGISTRATION # <br /> TYPE OF WORK; New ✓ Addition Accessory Structure Move <br /> Demo J Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) :1•ONADLI-fw -J eDr= £10S-rike / ' r <br /> 6 t_ CT . �1,1/43 PIS (LAi r"--p1Lpci7 CPeZI <br /> STORIES: / SQ. FEET OF EACH FLOOR: 2-7g5- (ill) <br /> NO. OF BEDROOMS: V GARAGE STALLS: ATT. 3 DET. <br /> b <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ / O�co0 , <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: Z -L do),--Cle DATE: /U- //-s 3 <br />