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Total Fee: $ <br />Entered By: <br />Ji <br />CITY OP ORONO - BUILDING PERMIT APPLICATION <br />_ _ _ _ _ _ _ _ _ _ Date Received: <br />Date Approved: <br />Permit#:-f :g>f <br />V r.‘ <br />! <br />• ^;• <br />•r <br />ALL INFORMATION "MOST EfE* iSOBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br />THE APPLICANT IS: (circle one)OWNER ji>r CONTRACTOR <br />JOB SITE ADDRESS: 3-22^. c,-ra. hjnJ ZIPs ^ /- - - s ^ — / <br />(work) fi, <br />NAME OF OWNER: I.c.rr-/ o t PHONE:(home) <br />HAILING ADDRESS: ?^^_2 CITY: rn ZIP: tm .s-»~3 <br />CONTRACTOR: j PHONE; <br />MAILING ADDRESS: v! S'Am. ILa_ _ _ _ _ CITY; a yr^ctf^fBt^ovUZZ'?^ / <br />TYPE OP WORK <br />Demo <br />New Addition <br />Remodel/Alteration <br />Accessory Structure )C Move <br />Renovate Land Alteration <br />PROPOSED WORK (describe in detail): a ft at P Sty^t 'm <br />JLckK'f-' dar n -JLr /"S'/•/W P^.^. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />STORIES : ^ SQ. FEET OP EACH FLOOR; <br />NO. OF BEDROOMS:GARAGE STALLS ATT.^^^ PET, <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br />I hereby apply for a building permit and I acknowledge that the informati <br />above is complete and accurate; that the work will be in conformance with t <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; a <br />that the work will be in accordance with the approved plan. <br />APPLICANT'S SIGNATURE: <br />(Please fi <br />DATE: <br />everse side of this form)