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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �1 . � Date Received: 0 C1/ <br /> Date Approved: a <br /> Entered By: Permit#: 5c1-)D <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) WN)or CONTRACTOR <br /> JOB SITE ADDRESS: O L!/`/, u) L -�tr ZIP: ---3 3 2 <br /> �` l VC/11 (work) <br /> NAME OF OWNER: oar G y �/4,�� sS2�l/ /7 /4,41_,tic PHONE: (home) ' 25---1737 <br /> MAILING ADDRESS: ,e X / CITY: '0 s t o- 1 /SLIP: SAT-15 <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS : CITY: ZIP: <br /> TYPE OF WORK: New Addition ✓ Accessory tructure Move <br /> Demo Remodel/Alteration Renovate_ Land Alteration <br /> PROPOSED WORK (describe in detail) : G{1e d `1 <br /> 0 9,yy <br /> Y. 1/4. 6-Ae <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> Oa <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /6969 <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 acc dance with the approved plan. <br /> APPLICANT'S SIGNATURE: ��) i "/ ""If DATE: i' -g i <br />