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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Cotal Fee: $ ` � Date Received: <br /> Date Approved: <br /> entered By: <br /> Permit#: 3 -S(-P ,7/ <br /> ULL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed)- <br />•------------------------------------------------------------------------------ <br /> ME APPLICANT IS: (ci/rcle one) OWNER or CONTRACTOR � <br /> TOB SITE ADDRESS: 341!r �i� O�'I�IL G' ZIP: .�•�%✓�� <br /> (work) <br /> ME OF OWNER: L` PHONE: (home <br /> 1A ) 1 � <br />+!AILING ADDRESS: 3 41,5` 16/�)2�A..-P�CITY:1�n ZIP: <br />:ONTRACTOR: PHONE: <br /> MAILING ADDRESS : CITY: ZIP: <br />!YPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Iteration <br /> PROPOSED WORK (describe in detail) : <br />;TORIES: I I SQ. FEET OF EACH FLOOR: <br /> 10. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> SSTIMATED CONSTRUCTION VALUATION (excluding land) : $ SbU•°-� <br />: hereby apply for a building permit and I acknowledge that the information <br />.bove 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 />.nderstand this is not a permit and work is not to start without a permit; and <br />.hat the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> f <br />