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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /[ .. '' O Date Received: <br /> "T <br /> Date Approved: <br /> Entered By: 00 Permit#: 5 96 <br /> ALL INFORMATION MIST BE(SUBeeMITTED <br /> IN FULL <br /> tBEFOREsP� REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNERQQor CONTRACTOR�� <br /> JOB SITE ADDRESS: 0/5- (/ltO'lt�d." �/41,444/44 'f lam'a .-- ZIP: .5'63,56 <br /> (work) <br /> NAME OF OWNER: 1ftL r-roeviza4t- +frel, PHONE: (home) <br /> MAILING ADDRESS: 6?5 hdpl .- igc ui( Rot CITY: e7ZIP: S,313-5-i6 <br /> CONTRACTOR: 1N�ti PHONE: 1717- ,2 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEEI: /kms PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: NeW Addition Accessory Structure Move <br /> Demo Remodel/Alteration X Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ' ,r�x.r o2 iGf/`�4"'` / ,t.Jv <br /> 7 <br /> 1,0,44„;17 `fit. 0.7. X14-w'GL Avid. <br /> STORIES: S9. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> O G <br /> ESTIMATED CONSTRII TION VALUATION (excluding land) : . $ . (RP' C , <br /> I hereby apply f�r a building permit and I acknowledge that the information <br /> above is complet and accurate; that the work will be in conformance with the <br /> ordinances and c des of the City and with the State Building Code; that I <br /> understand this i not a permit and work is not to start without a permit; and <br /> that the work wil be in accordance with the approved plan. <br /> V,,te.;4;., A7x 4 DATE: // o'i i& fAPPLICANT'S SZGNATIIRE: <br />