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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received: <br /> Total Fee: $ <br /> 4*- <br /> Date Approved: <br /> Entered By:_ Permit if: <br /> ALL INFORMATION MUST BE <br /> SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> ___ _ _____ ------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: <br /> ZIP: <br /> (work) <br /> PHONE: (home) <br /> NAME OF OWNER: dQ �� C G/9�C�ZIP: �� <br /> MAILING ADDRESS: Q4'7 " d N�L�9 �� CITY. � 40N�' <br /> PHONE: 1,,A 4j-, 17 14 <br /> CONTRACTOR: <br /> CITY: � k ��G.SjdQ ZTP''`S`"�.�3 <br /> MAILING ADDRESS: <br /> Accessory Structure Move <br /> — <br /> Demo <br /> OF YrTOR�: New Addition— Land Alteration �C <br /> Demo Remodel/Alteration — Re.�ova e <br /> -T� <br /> PROPOSED WORK (describe in detail) : � - <br /> t 1--'i 1<C t �Lt,dL✓ d� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMIA TED CONSTRUCTION VALUATION (excluding land) : $ <br /> hereby apply for a building permit and I acknowledge that the informa _ <br /> I y that the work wi 11 be in conf ormance with <br /> above is complete and accurate; and with the State Building Code; the <br /> ordinances and codes of the City <br /> understand this is not a per and work is not to start without a hermit; <br /> that the work will be in accordance with the approved plan. * <br /> DATE: <br /> APPLICANT'S SIGNATURE: <br /> (Please fill out the reverse side of this form) <br /> a <br />