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• • �T CITY OF ORONO - BIII7�DING PSRMIT APPLICATION <br /> Total Fee: $ � T��a_�Q� Date Received: <br /> � Date Approved: � d A �` `�'� <br /> Entered fy: � 3 a� <br /> Permit#: <br /> ALZ INFORMATION MIIST BE SDBMITTED IN FLJLL BEFORE P?�AN REVI�UI ieiILL BE STARTED � <br /> (See Check-off List Enclosed)- <br /> -------------------------------------------------------------------------------- <br /> T� APPLIGANT IS: (�ir�e one) OWNER or NTRACT <br /> � ZIP: <br /> JOB SITE ADDRESS: - � ��C N � <br /> (work) <br /> NAI� OF OWNER: �°�2.� �rK,f �aL/ ����/;.OS PHONB: (home) <br /> MAILING ADDRESS: �A' CITY: ZIP: <br /> CONTRACTOR: �OO�S � z- PHONE: $"6 /".,--� �d <br /> MAILING ADDRESS :���j W 60� �T CITY: /+�P�S h^�^'�' Z IP: �S y/9 <br /> TYPE OF WORK: New k Addition Accessory Structure Move <br /> Demo Remode�/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : Sl���r+��S �oa / /.�-x�-y 3�6��` �'�' <br /> STORIES: SQ. FEET OF EACH FIAOR: <br /> NO. OF B$DROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> BSTIMATED CONSTRIICTION VALIIATION (escludinq land) : $ $�g0 d - <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 w�rk is not to start without a permit; and <br /> that the work wil 1 be in accordance with the approved plan. <br /> APPLICANT'S SIGNATOItE� .�— � � RO� .yr��- DATB: ��Si l�v <br />