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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ WilC 5, Date Received: ' <br /> ( <br /> Date Approved: <br /> Entered By: 1,/ /) (4Permit#: �(' <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) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ' %'S Oz'o,^o La-,-E_ ZIP: <br /> (work) <br /> NAME OF OWNER: Z---(3‘^ '-,- '� Y Q.,r-\°‘ S p o 0 V,-e-.tr PHONE: (home) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: -2-0k",--. t—�°"-""`•`c- '*- 0-3 �",c_ PHONE: <br /> �`� <br /> 3- 0Q33-1 <br /> MAILING ADDRESS: 1F)285 f�--�-.'�\-P-cS ��a0c CITY: '.��.- C- -°-�rC ZIP: 5S--1'-k-1.-S00--k <br /> STATE LICENSE: # `-1 ®$ <br /> ARCHITECT/ENGINEER: QCOGe_ v1/4J_ Sc.l^""`•k A- ASmc- PHONE:N1-1-1' - C ->--2---2_MAILING ADDRESS: '12-0 �oNk-,-�c> f vie SCITY: t•.JA.y'Za•'C-c\ ZIP: S51"kl <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) : c. -'e`^"ode_t:k-3 , g _v c..',`^.\1`,_3_ °'`^a <br /> A r-A\ ;�n. c --._(-- ,k: ,\(1,.. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 73e)0, 000 s0° <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 accorcance with the approved plan. <br /> APPLICANT'S SIGNATURE: 11 DATE: S 3` ci5 <br />