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' CITY OF ORONO - BIIII�DIi1G PERMIT APPLICATION �'� �D- gI <br /> Total Fee: $ (�Q�l(� � L��5 Date Received: <br /> , Date Approved:_ �� " / 7 ' q J <br /> Entered By: - <br /> , <br /> Permit#: �� a <br /> ALI� INFORMATION MIIST BE SIIBMITTED IN FIJLI. BEFORE P7�AN RE4IB'W idIIS. B$ STARTF�D <br /> (See Check-off List Enclosed)� <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITS ADDR$SS: �i� �� Si�f'fd� IA/OOp �p ZIP: �S 3� t <br /> (wvrk) �J�� ' 010D <br /> NAI� OF OWNER: ��V�p �/����'� PHONE: (home) 12°l ' �l I Z• <br /> MAILING ADDRESS: `�E q l°�� �t VE S cl�: MP�s- zIP:5S�°1 <br /> CONTRACTOR: �� �SQV�R� I� • PHONE: �� ���2 <br /> MAILING ADDRESS: �b°S FMR��� Rv- 5 • CITY: M��j�� ZIP: S5� 3 <br /> TYPE OF WORR: New Addition x Accessory Structure Move <br /> Demo Remod�/Alteration� Renovate Land Alteration <br /> PROPOSED woizx (describe in aetai�) : �bp ��oo �F UppE�1�v�1..; p/►►��'1a�. <br /> t�n�oo���N v►: NEw H vP�: N�w ��c'E Rt+�- s�pin� : I�w �°oF <br /> sz�oxiEs: I N.�w sQ. FEET OF EACH FIAOR: �,'l�� S��� NEW <br /> NO. OF BBDROOMS:�_ GARAGE STALLS: ATT.N� DET. • <br /> BSTIMATED CONSTRQCTION VALIIATION (eaclnding land) : $ �v�� —` <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the wvrk 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 /> C� � �j, . <br /> APPI.ICANT'S SIGNATQRE: �' DATE: J �+� �� <br />