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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ -2) cl �� Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: -2 1 c <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: �j S W f l , ZIP: <br /> ro1\10 1 Nle S �� <br /> (work) II <br /> NAME OF OWNER: �=� (� - 7'J` r (� PHONE: (home) <br /> MAILING ADDRESS: Sckt40 cc� --bCVC' CITY: ZIP: <br /> ' //I <br /> 7 <br /> CONTRACTOR: i S 6� S 1 N PHONE: 47 3 -7`7� <br /> MAILING ADDRESS: 02f 1AJ �Nc) us4ric._f CITY: kCNq t--, ZIP: <br /> TYPE OF WORK: New X Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : O 1 N 0-"C' <«J t Ate( b ' fX <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ! � gD• 0-0 <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: <br /> J, �' 1)10,1.1 FA( S O t) S(yP�MATE: S1--36 <br /> (Please fill out the reverse side of this form) <br />