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t " � ` CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ / �- Date Received: <br /> Date Approved: <br /> Entered By: � <br /> Permit#: �S <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: 3 7 6 S fill A-rE g'rd g /V ZIP: <br /> NAME OF OWNER: /'C U I ,� � �'�G� ��5 PHONE: (home) YT3-675'8 <br /> MAILING ADDRESS: �I���If11 r` .C�"Qlfl�f klit'D, CITY: M fyr/_f PLNOAN, ZIP: 6-S73 SY <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: Addition Accessory Structure Move_ <br /> Demo Remo a /Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : i !:�4 — a3&—A2 <br /> r <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 SIGNATURE: r DATE: <br />