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� � ' . CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> "' - `i ( <br /> � Total Fee: $ �� " Date Received: ,j- � <br /> ! ;� Date Approved: 3--� �Z-- -�j/ <br /> Entered .By: � �. <br /> �� P e rmi t#:��j.���� <br /> ALL INFORMATION MUST BE SIIBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> ---------------------------------/-�'�`� ------------------------------------- <br /> THE APPLICANT IS: (circle one) ` OWNER br CONTRACTOR <br /> �l <br /> JOB SITE ADDRESS: �3�5 � V�/�n�.�,.> ��; a �� ZIP: j � 3 �' Z_ <br /> (work) �!�1-��157 <br /> c <br /> NAML OF OWNER: T f'��l�s,.� � Sv �,��,,�.�- �:�.,ti, , c_1 i PHONE: (home) y'12- 5'�D`I <br /> MAILING ADDRESS: �c� 3L /�{,�W�-�•� d t��-� ��1 CITY: y�'1 0� �� �L ZIP: � 5 3 �`� <br /> CONTRACTOR: �7-r�-"f+�%A S� 5 .✓ PHONE: g 3 3 - ^7"7 3 D <br /> MAILING ADDRESS: � '�lza �,.i. �,a�'c. CITY:S�-- L�•��s !tirc ZIP• <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �21 � �d�Pz� <br /> PROPOSED WORR (describe in detail) : J�k pF�« ,-�,,, c X�s��N���� 6•✓, ..�iTh ,� ,�c�..� <br /> �i2/� �..l�,,,A.,..�� �� L--r✓, NC.,✓ C�e�.� �� r3t ZZ. tT t�'c,,n G2o.�,,..c�. � � ' �i+/�.Co,�n C,u� L�NE <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAG$ STALLS: ATT. DET. <br /> ESTIMATED CONSTROCTION VALIIATION (excluding land) : $ ;.--� / C=� Lf� �' � <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 t2� <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a �ermit and work is not to start without a permit; ar. <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATIIRE: <�1✓�`-/r '�,�1-�J.� DATE: ��7 �7 / <br /> (Please fill out the reverse side of this form) <br />