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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: ,2-- <br /> Date <br /> 2-Date Approved: 1 f 3 Q,2_ <br /> 1 <br /> Entered By: ..(4, permit#: -//go <br /> go <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> TBE APPLICANT IS: (circle one) (T or CONTRACTOR <br /> JOB SITE ADDRESS: / S-‘,57 p/eaig9 0006. ZIP: SS3S <br /> (work) <br /> NAME OF OWNER: 5-0/1"-- (i9/d e c. PHONE: (home) `03-, ° 13?- <br /> MAILING <br /> > ,° 8?- <br /> MAILING ADDRESS: /S C's 010a0 04K5 P4 CITY: v^-G /4/ ZIP: 5$ 5 <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <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 Renovate Land Alteration x <br /> PROPOSED WORK (describe in detail) : A 6 lee e-$ tv Tt/r"' AO r <br /> Fe-.4,s2 6y Ca49O`,Y - /ea TAT-Pt/6 t/6 po eD Be,r e e,.- P11-4.e cv a75 <br /> 1.°t° 50-r4 A)Pe �y GN 'CuPfr -e, r,.. 6o c..- 51)&7- Also... .50,K-e, A /I.-y-0/- R S eDr <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <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: DATE: l" <br /> TL,J) 1L;J2 <br />