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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 3 ��� �� Date Received: 'y-/o - 9/ <br /> Entered By: -7 v''" <br /> 7 ,�, Date Approved:— <br /> C� <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------•---------- ' <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: / ZIP: <br /> �„��4 r� (work) <br /> /4 <br /> NAME OF OWNER: T PHONE: (home) <br /> MAILING ADDRESS: 3/S CITY: V/Uf4-�-o ZIP: <br /> CONTRACTOR: PHONE:- ) - <br /> MAILING ADDRESS: a-9 L7 "` <-6-f CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remo Ue/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ air <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: t.t�t�✓ DATE: 0 <br />