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'' � ` CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee : $ / Q `�� �� � Date Received: ��� C1� <br /> �✓ Date Approved: <br /> Entered By: ����-/ <br /> Permit#: � �3 <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILI, BEFORE PLAN REVIBW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR <br /> JOB SITS ADDR$SS: Z �CP� S�f`�D� u-y� � i'�� ZIP: .���T� <br /> (wvrk) ��'�-�i��� <br /> NA1�sL OF OWNER: �,,�f�CIL ��/�2�� PHONE: (home) ��/-JZ i'A <br /> MAILING ADDRESS: ���� �����L��d'��1��'J CITY: l��ir��� ZIP: ���-�'�/� <br /> ,�•---=--_i4- � .� 7 <br /> CONTRACTOR: � �✓?;���; `j;���C'C�'�l...e� PHONE: ��� ��-��/ <br /> MAILING ADDRESS : ��/!_���>'����C�i���� CITY: //i����2' �1 ZIP: ��,.`:. � 57 <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remo el/Alteration Renovate Land Alteration <br /> ���-�� <br /> PROPOSED WORR (describe in detail) : <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR:�� � S-- � � ,�`v <br /> NO. OF BEUROOMS: GARAGE STALLS: ATT. DET. <br /> ...�. <br /> � -� ;. .�, _ <br /> ESTIMATED CONSTRIICTION VALIIATION (escludinq land) : $ �--�-���� ` <br /> 2 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 acc9r�ance with the approved plan. <br /> i j .-�%- "� - <br /> ( � z - � � <br /> s �_-.�-r� .. �- ---— - <br /> APPLICANT'S SIGNATURE: �'�•-�u���'� �'� DATE: :�� <br /> � , <br /> / -/ - <br /> � <br />