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" CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> 7� tal Fee: $ ,^-�,��'� �� �� �� Date Received: <br /> �� Date Approved: �C)- �-�- `� '-�' <br /> Entered By: / <br /> Permit#: �� �� 1 <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILI, BEFORE PLAN REVIE`W WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER or �NTRACTOR <br /> �.______ <br /> JOB SIT$ ADDRESS: /70C� �`�i o �� /,�n� a�. ZIP: ,3,.539/ <br /> (work) .� 3 7 <br /> NAME OF OWNER: ,Ir ry, n ,�a c o b s PHONE: (home) <br /> MAILING ADDRESS: /700 -Sho r� /,'r� � Ur` CIT�= �Gv z c, f q ZIP: 553 9/ <br /> CONTRACTOR: ��n �� � /i�o m c s . .Z�r�a . PHONE: 'y?-% -D 5 4/8 <br /> � <br /> MAILING ADDRESS : �c� / � A�� ,��� � f�wr CITY: j,���A ZIP: 55 _�y; <br /> TYPE OF WORR: New ✓ Addition Accessory Structure Move <br /> Demo Remode�/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : %� c s � i�o u s� <br /> STORIES: � SQ. FEET OF EACH FLOOR: /77G <br /> NO. OF B$DROOMS:_� GARAGE STALLS: ATT. '� 'DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ y�0 �(' <br /> I 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATQRE: DATE: /D -/, - 9 a <br />