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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ S- <br /> Date Received: <br /> Date Approved: <br /> Entered By: <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 o CONTRACTOR" <br /> JOB SITE ADDRESS: v7 C (C.LX . ZIP: - J -, ) `1/ <br /> (work) <br /> NAME OF OWNER: k:Q_, � PHONE: (home) <br /> MAILING ADDRESS: S (Q ,iz3 6? -a 6 TY: e7 4,(2,_ ZIP: 5-5-3 y / <br /> CONTRACTOR: ��. »�L� -ivt�� at“..-60-9 PHONE: V7a - l <br /> r" <br /> MAILING ADDRESS: /Z `7 CITY: werw ZIP:53 3 e,q- <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: .PRONE <br /> = <br /> MAILING ADDRESS: CITY: -. ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition 2K Accessory Structure Move <br /> Demo Remodel/Alteration ))4-. Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ��G� 1 ,Jti 2Q ( 4- - <br /> A124N-1,0-4).-AL „ttyTtg. -4- ,Zet.42 y?r, <br /> STORIES: ) 2(,) SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> a <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /e, 600 <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 acc.rdance with the approved plan. <br /> J <br /> e7V 11 <br /> APPLICANT'S SIGNATURE: 1 - itANI Qh.01-a,' -- DATE: v <br />