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. � ' ! CITY OF ORONO - BIIILDIN�� P$RMIT APPLICATION <br /> Total Fee: $ ���l� �R(p� Date Received: <br /> ', Date Approved: <br /> Entered By: � ,U <br /> Permit#: ;� I 9 <br /> ALL INFORMATION MII$T BE SUBMITTSD IN FiJLL BEFORE PLAN REVI�W ieIII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> T� APPLICANT IS: ~(circle one) OWNE r CONTRACTOR <br /> JOB SITE ADDRBSS: ��._�� �i^b5,C7���%yi/ ZIP: � <br /> � r y 5�a..� /�G�-�/ � i'��J • (work)7 �� "����L <br /> NAI� OF OWNER:�����/�ed` /►��t �1 �� U�cp �` PHONE: (home) S/7�`�G�� � <br /> MAILING ADDRESS:.3/ � f� C �( 7�'ev� �/', CITY:�-b y� Lw�� ZIP:f���' � �� <br /> CONTRACTOR: � �✓/� �� ����'� PHONE:y�� -� � � <br /> MAILING ADDRESS: �L� ��2 JG T�� �'�� CITY: L-d N �� Z IP: ,,j�5�3�� <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remo e /Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �`a y.� �i�u UT.�o y a� � �� � 6 � , <br /> �,��' .� <br /> STORISS: l SQ. FEET OF EACH FIAOR: / ��� <br /> NO. OF BSDROOl�l.S: 3 GARAGE STALLS: ATT. .2. DET. <br /> $STIMATSD CONSTRQCTION VALQATION (eacluding land) : $ �� �d� <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 coaes 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 /> APPI�ICANT'S SIGNAT�tE: DATE: S v2�''g/ . <br /> i <br /> � <br /> � <br /> i <br />