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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee : $ 1-7/4/ (-6 Date Received: ��9,/ <br /> Date Approved: <br /> Entered By: <br /> Permit#: (C- <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 ) OWNER o CONTRALTO <br /> JOB SITE ADDRESS: <,2,L, e/w—/'7 /f_ . ZIP: <br /> (work) <br /> NAME OF OWNER: (c-z(/ r PHONE: (home) j <br /> t <br /> MAILING ADDRESS: , �' �= ' �` <br /> (3-‘72::-: f�"eCt �'r% CITY: , ZIP: <br /> CONTRACTOR: /-Ir y1 Lx) ., ( PHONE: <br /> y <br /> MAILING ADDRESS : 'A CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration ;<, Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : , ;r <br /> STORIES: SQ. FEET OF EACH FLOOR: ei <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 ac • dance with the approved plan. <br /> y/APPLICANT'S SIGNATURE: � ;1tz • / DATE: / <br /> tE <br />