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' � CITY OF ORONO - BIII7�DING PERMIT APPLICATIOA <br /> �tal Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit�: <br /> AT•T• INFORM�iTION MIIST B$ SIIBMITTF.D IN FITLL B$FORE PZ�AN REVIEW WII.L B$ STARTSD <br /> ------------------------------------------------------------------------------ <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> , <br /> � i �-�- <br /> JOB SIT$ ADDRESS: ��� �� ZIP: �J � � 7 f <br /> ,, (work) <br /> � ;' i <br /> NAM�: OF OWNSR: �--CI� PHONE: (home) <br /> . <br /> MAIZING ADDR$SS: (> ' -��..�'i � CITY: ����� '��/ ZIP: -S� <br /> f %` <br /> CONTRACTOR: �- �� PHONE: �� ��� <br /> MAILING ADDRESS: �5� ' �' ` C Y: �i ZIP:��� / <br /> � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration� <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: SQ. FEST OF EACH FI.00R: <br /> NO. OF B$DROOMS: GARAG$ STAI.LS: ATT. DET. <br /> ESTIMATED COFSTRIICTION VALIIATION (eaclndiag land) : 1�$ <br /> I hereby apply for a building permit and I acknowledge that the informatic <br /> abone is complete and accurate; that the work will be in conformance with t: <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 germit; ar <br /> that the work will be in accordance with the approned plan. <br /> :� � ;� <br /> APPLICANT'S SIGNATIIRE: � "� ��`� � � ��'� DATE: � � < <br /> (Please fi 1 out the re rse side of this form) <br /> 4 <br />