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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 1 / <br /> Total Fee: $ ok Date Received: 3 � / <br /> Entered By: <br /> Date Approved: <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 aX CONTRACTDB_--) <br /> JOB SITE ADDRESS: ;7,70h G✓tr�5'S 10077- ZIP: <br /> (work) <br /> NAME OF OWNER:- AVt67,1 l i c PHONE: (home) 7 2 s- r3� <br /> MAILING ADDRESS: ZIP: <br /> CONTRACTOR: PHONE: '?2 / E6 z <br /> MAILING ADDRESS: CITY: ZIP: 5 /06 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : /U��✓ �7 S E1�s a.v Pv/�c l9zi< � <br /> 447—h' /fAP177c-n-' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ IZ0 <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: :2 16' ��(� <br />