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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /��67 Date Received:-- <br /> Date Approved: <br /> Intered By: <br /> Permit � 77 <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: /rcl ZIP: 5 -5 / <br /> (work) <br /> NAME OF OWNER: /'au� /tip c PHONE: (home) <br /> MAILING ADDRESS: 5"O .F CITY: �'; ,>>tj ZIP: <br /> CONTRACTOR: — PHONE: <br /> MAILING <br /> ADDRESS : ��'�/�.a�;ra J-�/v� CITY: At ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_ Renovate Land Alteration <br /> PROPOSED WORK (describe in de—tail): &e,-,l <br /> cce of&% Z?rc/r- "i,,t-L <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ �r�;() <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: 1Z �G <br />