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r CITY OF ORONO - BDILDING PERMIT APPLICATION <br /> To�al Fee : $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> AT•7• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed ) <br /> ------------------------------------ ----------------------------------------- <br /> THE APPLIGANT IS: (circle one ) N�� or CONTRACTOR <br /> Jos szT$ AnDx�ss: ;�7 �! � S ; ! ��� L� � � �� (� �' _ ziP: S` S 3s.6 <br /> (work) <br /> � PHONE: (home) y 4 � -�'"�� <br /> r� oF owrT�x: -�� �v� �e�` <<; -.3 : I-1 �� <br /> MAILING ADDRESS: � � �1 L ✓i �VC(� U l F w � CITY: �� i �' (1� ZIP: S �3 S � <br /> CONTRACTOR: -� �Y1� Lc�...�:G G�l�,� PHONE: y 7 Z- 7 7 c6 <br /> MAILING ADDRESS : ;�, (.j, �� a � � CITY: �ll��� ��� ( ZIP: S S3� � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration� <br /> /� � r <br /> PhOPOSED WORR (describe in detail) : (�-Y'�.Q ��c�.�(�- v'C�- Cte.wc,� �J <br /> � � b� �� � �t��-c a: �z�w U�� � � � �( � a'4-� I � , <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> AIO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VAI�IIATION (ezcluding land) : $ <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 /> � � � <br /> APPLICANT'S SIGNATORE�,i �'�' /' /� � �� DATE: L�- Z 5 c// <br />