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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> • <br /> Total Fee: $ {, j/Y /y Date Received: //- 022-7,‘ <br /> Date Approved: <br /> Entered By: ec., , <br /> Permit#: to/O <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 (C-ONTRACTOR) <br /> JOB SITE ADDRESS: /Z 2 S (}eo.✓o 0A-es 1;;E . ZIP: <br /> /.//.5 (work) 544-6 / <br /> NAME OF OWNER: .iir"e7 -i viOL,Av&e A)/ S PHONE: (home) 44-9-4$44 <br /> MAILING ADDRESS: 5133 , ,Qi.ue,rokl Rp CITY: G414*Z4g4 ZIP: S5-1 / <br /> CONTRACTOR: ..CaD D CO , PHONE: 73/-3'/S� <br /> MAILING ADDRESS: �, Z Wod�p. -t E j5),.. CITY: A/040 4NAe Y ZIP: SS/2 5- <br /> STATE LICENSE: # 000 e9445- <br /> ARCHITECT/ENGINEER: 5-4'✓07 6 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 (describe11in detail) : �y,o.c Pro.J T eu �,,,s,' at) S7c cJ ) <br /> C?/ D,AJa /t odA1.0 S�2t/cial2E l , G✓�-- / 5-6-,=>7%c <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: /SfF e /374 5,F. Z =4:42,4? -/2645"..c: <br /> NO. OF BEDROOMS: ¢ GARAGE STALLS: ATT. Z DET. <br /> 00 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2/7/ 4 o o <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: W �4f------- DATE: 11/40/941- <br />