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; <br /> CITY OF ORONO - BOILDING PffitMIT APPLICATION � y <br /> f x "� c.�, � <br /> Total Fee : $ �-� `?� � �' Date Received: �-� / ! ` <br /> Date Approved: <br /> Entered By: � �� ���� <br /> Permit#: _ ✓�, <br /> 0 <br /> ALL INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIgW iaiILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------�------__-------------------------------------- <br /> THE APPLICANT IS: (circle one) '�CowNER or�CONTRACTOR <br /> JOB SITR ADDRESS: y121`; �: �. ��.� �i� �.�.�-� L . ZIP: ��S� .3S� <br /> (work) <br /> NAME OF OWNER: , � ; 1^ PHONE: (home) � 7 6 /�.':�� <br /> 1KAILING ADDRESS: _�"�z�_ CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure t� Move <br /> Demo Remode�/Alteration Renovate Land Al.teration <br /> PROPOSED WORR (describe in detail) : 1`�- � � � k' v';c� � _�G;�� �"v�;� <br /> I ��' ` � <br /> (� �C�-� /�'1.,� .`�31�a��i� �ct 5 t i.V�r l� 0� � e"�-r� �C?�U`V1 , <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> i�i�. �F �tsDRt�IKS: GAR�GE ST�Y,S: ATr. 'u�•i•. <br /> `/ �,v <br /> BSTIMATED CONSTRDCTION VALIIATION (egcluding land) : $ �CJ�a <br /> 2 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: ��C.. DATE: � � � <br /> r <br />