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4 CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Foe: 7 1 Date Received: 3-,-;to <br /> -9 <br /> Date Approved: <br /> Entered By: <br /> Permit#: 0 <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) o CONTRACTOR <br /> JOB SITE ADDRESS:61141 r ZIP: 'SS3S(p <br /> C�wo-'cJS> (work) <br /> NAME OF OWNER:, Lose:5 `I d�L� c;tr✓t e l PHONE: (home) <br /> MAILING ADDRESS:,QlK(�j,1/1T�J� �e^P1� CITY:L& -GA44, ZIP: <br /> CONTRACTOR: taw ��(,(�- PHONE: kI}3' 3V I I <br /> MAILING ADDRESS: A'90VV CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remo�c a /Alteration_ Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 6P4tJS10N 01-- CVYZ&= Jf FA-M l(,Y i200h <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ <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 SIGNA DATE: <br />