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CITY OF ORONO - BIIII,DING PERMIT APPLICATION <br /> r- 1 Fee: $ Date Received: <br /> . Date Approved: <br /> Entered By: <br /> Permit�: <br /> A7,L ZNFORMATION MDST B$ SIIBMITTED IN FIILL BBFORE PLAN RSVIEW WILI� BB STARTED <br /> -------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: �C.F ��d ,�� % ZIP: ti �_ 3 �E �, <br /> (work) <br /> P� G � �� '� t � PHONE: (home)'�?( 7`r c: � <br /> NAME OF OWI�TSR: f c �� + c-��� <br /> MAILING ADDR$SS: ��"�S� SG]�d-�-�c• �� c� i d. CITY: C1���y�a� �/>st ZIP: ,��3�� <br /> / <br /> CONTRACTOR: r�� -�`� f���l�` fC--- PHONE: `���- ���� )' 7 <br /> MAILING ADDRESS: CITY: ZIP' <br /> TYPS OF WORIC: New �� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : /�,''<< 4 � S ����� T ��`�c� <br /> STORIES: � SQ. FEBT OF EACH FI,OOR: /��� <br /> NO. OF B$DROOIKS: GARAG$ STAI.LS: ATT. DET. <br /> /n ! � � , _ � <br /> ESTIMATED COFSTRIICTION VALIIATIOP (eaclnding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the informatic <br /> above is complete and accurate; that the work will be in conformance with tr <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a Fermit and work is not to start without a permit; ar_ <br /> that the work will be in accordance with the agproved plan. <br /> " ��' �� _����-.�� <br /> APPLICAIQT'S SIGNATURE: r ������"� DATE: <br /> (Please fi 1 out the reverse side of this form) <br /> 4 <br />