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CITY OF ORONO•- BDY7�DING PERMIT APPLICATION <br /> Total Fee: $ � �� ��� � j Date Received: /C� - � %- `�/ <br /> Date Approved: <br /> Entered By: �•�'�V` "r/ <br /> Permit#: �7 C � �' <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FiJLL BEFORE PLAN REVIgG1idILL BS STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB s z� Annx�ss: ( r O �� � r N A U c� z Ip: ���� � <br /> (work) <br /> D <br /> P7AML OF OWNER: � Z� � ����(/ ���� PHONE: (home) <br /> MAILING ADDRESS: � �(`� �m1%� �UL- CITY:� �0� � ZIP: ��7( <br /> CONTRACTOR���� � �C%�• I � � PHONE: � 3 � � � � � <br /> MAILING ADDRESS: PQ. �� IbC� <br /> CITY: /Z� I �N�`��K/T ZIP: ���` (5� <br /> TYPE OF WORR: New Addition� Accessory Structure Move <br /> Demo Remode�/Alteration Renovate Land Alteration <br /> 'ZZ <br /> PROPOSED WORK (describe in detail) : � o� �(� h�� ����� <br /> "� <br /> STORIES: �. FEET OF EACH FLOOR: ���'� <br /> � <br /> NO. OF BSDROOMS: � GARAGE STALLS: ATT. DET. <br /> $STIMATED CONSTRIICTION VALIIATION (egcluding land) : $ ��;t90� <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 /> APPI.ICANT•S SIGNATURE: DATE:�� ]/ <br /> ,��,����, ���e�� �'�-� � -�-�-� , <br />