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1 ` CITY OF ORONO - BIII7�DING PERMIT APPLICATION <br /> Total� Fee� $ ��• ! � Date Received: �l - a S' 9 � <br /> uai8 isYviu'v�u: <br /> Entered By: - permit#: 7��1 <br /> AT•T. INFORMATION MIIST BE SDBMITTED IN FOLL BEFORE PLAN REVIg'W ieiILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTnR <br /> JOB SITS ADDRESS: /�.�� �Ap� l�,�C�l� 1JYC ZIP: �jS� I <br /> (work) <br /> NAl� OF OWNER: �l�$ '� l._.� '���t'C� PHONE: (home�7���� <br /> MAILING ADDRESS: ��j ���1��Q��ilf�l�fl �Jl� CITY:�`Q�l�Pt�C� Z IP: '�j �J J� I <br /> CONTRACTOR:�1 E�� �$b Q�4°�n l�. .t�1.l�G•���D'�'(�/�� PHONE:���-���3 <br /> MAILING ADDRESS: I���� ��-��,Q • CITY:/������{� ZIP: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remo�ce�/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : I/l�S�/�i�L(r �� �U�Z�� Z� vL►�S� ��C�1 <br /> �1.��o _ �' l� � <br /> � lll9[701�? IOV �L� �-�- � �S�t�R-Y <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BSDROOMS: GARAGE STALLS: ATT. DET. <br /> $STIMATSD CONSTRDCTION VALIIATION (escluding land) : $ <br /> ' (�� �� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wark 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATORE: � DATE: I,���` G � <br /> (� 1� �{-z, L�s ��...� <br /> . ��S" <br />