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• �- / <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION ` <br /> Total Fee: $ Date Received: <br /> Date Approved: ` <br /> Entered By: <br /> Permit#: <br /> AT•T• INFORMATION 1KDST BS SIIBMITTED IN FIILL B$FORE PLAN REVIEW WILL BE STARTED <br /> ----------------------------------- ---------------------------------------- <br /> � APPLICANT IS: (circle one) WNER r CONTRACTOR � <br /> JOB SITE ADDRESS: � Z �D O �i� rl.lC� ��QCC� ZIP: SS3C'�`� <br /> (work) �j�JB'���g <br /> N�ME OF owri�x: 1�-tJC� ��D� � psorrE: c home) �7 j-�10 6 3 <br /> MAILING ADDRESS: SIQib � CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP' <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate_� Land Alteration <br /> PROPOSED WORR (describe in detail) : 1r�P ((����- �°--e �u%� h� � W���5 <br /> � Yj4�e ur� u.'r '�Z � �t,�k� �..�c�.(' �-i.( W es� wo�,�.(' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> �10. OF BSDROO1rIS: GAR�IGE STALLS: ATT. DET. <br /> ESTIMATSD CONSTRIICTION VALIIATION (excluding land) : $ �, U O O. <br /> � hereby apply for a building permit and I acknowledge that the information <br /> sbove 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 /> -anderstand this is not a Fermit and work is not to start without a permit; and <br /> that the work will be in accordance with the ap�roved plan. <br /> �PPZICANT'S SIGNATQRE: l.-c ��1�._ DATE: � 7iZ � <br /> (Please fill out the reverse side of this form) <br />