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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered .By: <br /> Permit#: <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: 5(0(3 w c Nb ` N h\ IVNE I`i 2,}J ZIP: <br /> -�) k:6:6-e---(r <br /> (work) <br /> NAME OF OWNER: L k �/ tC C--z-(r PHONE: (home) 111)-----3-“T 6, <br /> MAILING ADDRESS: a LAI IIV( Plysty%,� LAI CITY:C .-61v ZIP: <br /> CONTRACTOR: vJ r Sn1 rt- I (,„`.=. T' . PHONE: 7 Z4'6 c]CJ <br /> MAILING ADDRESS: 5; L;/V w€04-_- X2-4)CITy: " Gv,,,,l7N ZIP: -CcS6 q <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 1 4 KZ vfl - UA/a ' !/l y O <br /> (.;! -i liww,( , - /&e.'o 0(`-- <br /> STORIES: / SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /j Y‘ 0 <br /> I hereby apply for a building permit and I acknowledge that the informatic <br /> above is complete and accurate; that the work will be in conformance with th <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a permit and work is not to start without a permit; an <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: C%L�--k_ - DATE: it /? - % ° <br /> (Please ill out the reverse side of this form) <br />