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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /M./5 Date Received: <br /> Date Approved: <br /> Entered By: ,C%.i <br /> Permit#: 4'4 '79 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -73 THE APPLICANT IS: (circle one) OWNER or ONTRACTOR <br /> JOB SITE ADDRESS: (RS bi2oNO LANE ZIP: S� 3` <br /> (work) <br /> NAME OF OWNER: O t L tL NJ l LAN 0 PHONE: (home) X73 -Fob <br /> MAILING ADDRESS: 13►5 o(t030 L+RNf CITY: D(1_4NO ZIP: SS-1S-1t <br /> CONTRACTOR: SV v(LP,p N PHONE: LI& Li-?°i -/CU 0 6 135 <br /> MAILING ADDRESS: la)LO t—k V ( L CITY:MA f t fLR4 N ZIP: 5S j S`i <br /> STATE LICENSE: # <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 v/ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : R-C.NIVW1V tu.JC, CtQA(2- 144In LES <br /> 1 -tQ1. 1ct✓ 1/..►� IL 1 CO � 5-74(+ ) ' L`4 <br /> STORIES: I lt-L SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ $%2q ra`' <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: (44 ° cA' DATE: . (3 ei <br />