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� w' <br /> CITY OF ORONO - BIIILDING PERI�IIT APPLICATION <br /> Total Fee: $ ��'e � � Date Received: � ' ��� � l <br /> Date Approved: <br /> Entered By: R �, <br /> Permit#: U � <br /> ALL INFORMATION MOST Bl3 SDBIKITTED IN FDLL BSFORE PI�AN REVIEW Ti�ILL BB STARTSD <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITS ADDRESS: I � o� C O�NT�1 Q� � � ZIP: S S 3 S� <br /> (work) <br /> N1�ME OF OWNER: / ",A/Z`�/ �U�1y T�� PHONF.: (home) �/7 3 -6 d.99 <br /> MAILING ADDRESS: 5'�"° CITY: U'�� �� ZIP: S�3 S� <br /> CONTRACTOR: ( ?1/��2Lo o,� - �RI.�/c�a /te�/=•••�G� Co,aP PHONE: �d-�` '-7 / 2-�' <br /> MAILING ADDRESS: � 3v `1 S^�u'-'^'� �� CITY: � �L-S ZIP: SS`'�o''� <br /> TYP$ OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOS$D WORR (describe in detail) : ��+� �F�` ��� R�'��°�= <br /> 5T��1' 2��s ,4...q 2 F�o o� �`h-T lL�aF s <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOI�IS: GARAGE STALI.S: ATT. DET. <br /> $STIMATSD CONSTRIICTION VALIIATION (exclnding land) : $ sy, 3 �t <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 germit 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 SIGNATURE: �l1� DATE: 7( J'1-�I9 ( <br /> (Pleas 1 ou e reverse side of this form) <br />