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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> `,al Fee: $ Date Received: <br /> Date Approved: <br /> -<tered By: <br /> Permit#: <br /> .iL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> E APPLICANT IS: (circle one) OWNER or(CONTRACTOR <br /> !D SITE ADDRESS: 3 4O u3ESZ CAKES 1 .�V ZIP: <br /> c-}— '. \ <br /> (work) <br /> \ME OF OWNER: Th yti1 S 1 E 0 n -lc Q VO PHONE: (home) (7'3 -q 0.5-7 <br /> ,ILING ADDRESS: 3LiU tois1-/.n4c--5-2 ..if CITY: �( ZIP: <br /> NTRACTOR:--ymb R t6O PHONE: x( 73-3 35 7 <br /> :JLING ADDRESS:// 1-752.5 2.3 (JD, , a` l CITY:?GiY ak ZIP: 55-(711 7 <br /> PE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> 'OPOSED WORK (describe in detail) : 7-16Ar Ortt S hj (Ay en' 6 k 1-66P11cl (A � Q <br /> / <br /> �'c5 w, S1i kA- pii-r,.er fOa U4�K .Re,5L1ee1-ouer1JY \) (etY1o(7wo-aJ, ghs+ci,tl Pr]DrA Rut laer 0-'4 <br /> UjS tviec-v Aacs.4 0LSC -PA StelePS... <br /> DRIES: ` SQ. FEET OF EACH FLOOR: <br /> . OF BEDROOMS: GARAGE STALLS: ATT. DET. f , <br /> CI <br /> TIMATED CONSTRUCTION VALUATION (excluding land) : $ c2 O <br /> hereby apply for a building permit and I acknowledge that the informatior <br /> ove is complete and accurate; that the work will be in conformance with the <br /> dinances and codes of the City and with the State Building Code; that I <br /> derstand this is not a permit and work is not to start without a permit; ane <br /> :at the work will be in accordance wit. ti( <br /> roved plan. <br /> PLICANT'S SIGNATURE: 1,111110 -I'Vw : rDATE: ,3-a(0-7 6 lill out the reverse side of this form) <br />