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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MOST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> ----------------------------------------------------------------------L---------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: -5 72 ZIP: 1 <br /> (work) <br /> NAME OF OWNER: Jc) <br /> PHONE: (home) V7/-9 17S <br /> MAILING ADDRESS: �7 2 S— fO ZIP: S'S <br /> CONTRACTOR: je '' `^ � PHONE: q 71" 41/ 75 <br /> MAILING ADDRESS: �72� 0C��7 fif4CITY: D & 1JC) ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : �'C' I� �C <br /> STORIES:_ SQ. FEET OF EACH FLOOR: d C) <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 6o o , co <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 /> APPLICANT'S SIGNATURE: DATE: <br /> (Please ill ut the reverse side of this form) <br />