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a. <br /> a _ , . CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ NW./' -2 ) Date Received: i7'01 " 57,5 <br /> • Date Approved: 9',7,S' - 95 <br /> TO <br /> Entered By: ' Permit f: 11254%1,17 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORES PLAN N REVIEW WILL BE STARTED <br /> (See Check-off <br /> TaE APPLICANT IS: ( circle one) OWNER or CNTRACTO <br /> JOB SITE ADDRESS: <br /> K occhArwiD Poli c_ gO ZIP: <br /> (work) ' 'O'?- , 3 8 <br /> NAME OF OWNER: 103 S/ir\s fec--- PHONE: (home)9213- d E <br /> MAILING ADDRESS: '1 tL e 210 Pic, a CITY: ()U✓nlC) ZIP: <br /> CONTRACTOR: fn ( U1 211)014- PHONE: 1 FS .1.9Li • <br /> SAILING ADDRESS: 1?t 'O l fioA \ CITY: ZIP: ) <br /> -TATE LICENSE: IT- <br /> ARCHITECT/ENGINEER: <br /> ARCHITECT/ENGINEER: PHONE: <br /> A,AILING ADDRESS: <br /> CITY: ZIP: <br /> NAME: REGISTRATION # <br /> rPE <br /> WORK: New Addition Accessory Structure YMove <br /> :" OF <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 1- ci.... > , <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> 140. OF BEDROOMS: GARAGE STALLS: ATT. DET.__ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ►6, 000) <br /> r 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 withthe <br /> ordinances and codes of the City and with the State Building Code;mi t; tnI <br /> understand this is not a permit and work is not to start without a p <br /> =hat the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: <br /> Cane' DATE: C____V_Lii _ <br /> � <br />