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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 'total Fee: $ - 9(P Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: � 5 <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 o CONTRACTOR \ <br /> JOB SITE ADDRESS: -r(,, CAZIP: �- z <br /> (work) <br /> NAME OF OWNER: fir r+,o til PHONE: (home) ±71 -0(62(v <br /> MAILING ADDRESS: 11�6c, `T`�A' P-�. CITY: Op--vC ZIP: -SS 35(. <br /> CONTRACTOR: 1 ��"^ ' Lire -�`S"fal'` 1? y�--4 1 �'-i3����' PHONE: <br /> MAILING ADDRESS: � '� Ste. 1 Sr. . 1s�4 CITY: SLS ZIP: S5 `f,-2_ <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : �t V,rOCC *V>67�lvl <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ `fd cap <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 />