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CITY OF ORONO - E LLDING PERMIT APPLICATION <br /> � f <br /> Total Fee: $ -�� ��' Date Received: <br /> ` �- - ��� Date Approved: <br /> Entered By: <br /> , <br /> - Permit#: ��� � <br /> AI,L INFORMATION MIIST BE SUBMITTED IN FIILL BEFORS PLAN REVIEW WILL BE STARTED <br /> ----------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> �? �_ g � <br /> JOB SITE ADDRESS: - -'�� `�Y��'�CG /�� r ��- _ ZIP: -� � `3 ` <br /> (work) 7 T�' ���� <br /> � f <br /> N�ME OF OWNER: )�-�13 l� W ` 00� - � PHONE: (home) 4 3 f - (, 5�,�� <br /> MAILING ADDRESS: �j li J ��O�.E � ►Yr � � �� CITY: �� �ll�'�'`�'e ZIP: ,J�^3 �� Z_ <br /> C <br /> ONTRACTOR: `� e � � PHONE: <br /> MAILING ADDRESS: CITY: ZIP' <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��C�,�� S ►�Dc.��U''� ('9 v� �t�C?� <br /> � ���� - ��/-�-��/�/ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> TO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 'CIMATED CONSTRUCTION VALIIATION (excluding land) : $ <br /> reby apply for a building permit and I acknowledge that the information <br /> e is complete and accurate; that the work will be in conformance with the <br /> �ances and codes of the City and with the State Building Code; that I <br /> stand this is not a Fermit and work is not to start without a �ermit; and <br /> he work will be in accordance with the a��rove� plan. <br /> " _ .. _ , <br /> T'S SIGNATORE: ''�v�`� i ,��'� DATE: �� �- ����� <br /> tPleas� fill out the rev se ide of this form) <br />