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CITY OF ORONO - BQILDING PERMIT APPLICATION <br /> Total Fee: $ `✓ � '� � � �' Date Received: <br /> ---, <br /> Date Approved: S a <br /> Entered By: � /'� � - <br /> .-,-, <br /> Permit#: ;> � ? �� <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIgW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR <br /> _ ,-, , <br /> JOB SITE ADDRSSS: ' ZIP: <br /> (work) <br /> NAMS OF OWNER: X" l �;"''-� . PHONE: (home) - ''�= <br /> rf,, �, �; , ,, <br /> MAILING ADDRESS: ' '' � � CITY: ZIP: ...%s`- .cr�' � <br /> . � � <br /> .. __ r <br /> CONTRACTOR: � �' PHONE: <br /> `4AILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New � Addition Accessory Structure Move <br /> Demv Remo�e�/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��� ' � , <br /> STORIES: .� SQ. FEET OF EACH FLOOR: " �J�' <br /> NO. OF BBDROO1rLS: � GARAGE STAI.LS: ATT. DET. <br /> , , � � <br /> ESTII�IATED CONSTROCTION VALDATION (eacluding land) : $ <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 /> :; -�"'" � i <br /> ..^-_W �. T l� ,. <br /> APPLICANT'S SIGNATURS: / ' % '—� DATE: �..' <br />