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CITY OF ORONO --BUILDING PERMIT APPLICATION <br /> Total Fee: $ 4,/, 30 Date Received: 3-210-42- <br /> Date Approved: 3 -2:1- <br /> Entered <br /> -Z?-Entered By: <br /> Permit#: L7/;(29 <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: 2-(c,E C DRC NA- iN p ZIP: `77-3---r>"7- c-7/ <br /> (work) <br /> NAME OF OWNER: Cr) R(-- s..„co ��t_ F r PHONE: (home) 4 <br /> MAILING ADDRESS: 2(O J O0 OIc4442Df S CITY: C)c�c:'1U , ZIP: sSA' <br /> CONTRACTOR: -I-0Q_+1Q_ C A 1' -�s c�-�' ����; o+r r�+ �N r. PHONE: 472- -!s-71 , - <br /> MAILING <br /> 72- -7I , - <br /> MAILING ADDRESS: 11 C7 S 617,4 Ro. 19 CITY: 0„),,e, <br /> STATE LICENSE: # ( - 2 2- <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 <br /> PROPOSED WORK (describe in detail) : Wall rc Pz t r 1)f4)Ci 4e_ p\ i 4c' h�rvi►ra.,? <br /> c I,1 b ha <br /> STORIES: SQ. FEET OF EACH FLOOR: '-- <br /> NO. <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DBT. <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 o, the City and with the State Building Code; that I <br /> understand this is not permit and work is not to start without a permit; and <br /> that the work will be i accordance - the approved plan. <br /> II CD` I j DATE: �7 Z <br /> APPLICANT'S SIGNATURE: I )/ <br /> 41 <br />