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CITY OF ORONO .- BUILDING PERMIT APPLICATION <br /> Total Fee: $ .,/©ql ief Date Received: 6 - <br /> Date <br /> 'Date Approved: <br /> Entered By: 25--62-5-1 <br /> ALL <br /> Permit#: <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: kR 90 a,& oo O4s Okite- ZIP: j5 3-7 <br /> I <br /> (work) 33 fad) <br /> NAME OF OWNER: YjR.. 1 .fr- 4 )0 (,\ENI ,V PHONE: (home)C(r�CQ-( c C( <br /> MAILING ADDRESS: ( Q O QkC)NO O(A ct)TY: Oct6 pc) ZIP: 5 3 3 1 <br /> CONTRACTOR: ItULA..12,,L. t ( ( C C) > . c PHONE:D(6 ft L s-oZC S�c, I <br /> MAILING ADDRESS: tC:) (1:2 9 - (09 I (-( (1LE CITY ILCE L Lb t ZIP: SJ <br /> STATE LICENSE: # CSO 0 ISC <br /> ARCHITECT/ENGINEER: PLP CU ( � C_ PHONE: 1 ) 2 .-0 ?079 <br /> MAILING ADDRESS:36R,_ S W ikS (Mc`1'UN CITY: EAL,Als ZIP:5S Wa <br /> NAME: -1-00,( REGISTRATION # <br /> TYPE OF WORK: New )4\ Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : J r Lb 1 "t=W 4uLtiE <br /> Pg_ ( J 3 42- 3 f) C S <br /> STORIES: ( SQ. FEET OF EACH FLOOR: („si- a vn ( o?O <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. ( Oc 4> <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ c(:)0,6 00 <br /> I hereby apply for a building perm.t 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 /> DATE: <br /> APPLICANT'S SIGNATURE: A , .. — i YA V _ ��- <br />