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CITY OP ORONO - <br />Total Fee: $ <br />BUILDING PERMIT APPLICATION <br />Date Received: <br />Date Approved: <br />TT <br />Entered By:Permit#: <br />ALL INFORMATION MOST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br />(See Check-off List Enclosed) <br />THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br />JOB SITE ADDRESS: /O Vo ~ 6s/ .7 d A ~ t f I__ZIP: Y <br />(work) 7 X / - ^ 3 / / <br />NAME OP OWNER I a’- ‘X *\ C _ _ _ _ _ _ _ _ _ _ _ PHONE: (home) V 7 2." ys 3 o <br />NAILING ADDRESS: ! d k u n //^A / / CITY : O fl. C ^ _ _ _ _ _ ZIP; S Y_ _ <br />CONTRACTOR : Oc PHONE: <br />MAILING ADDRESS:CITY:ZIP: <br />TYPE OF WORK: <br />Demo <br />Hew Addition_ _ Accessory Structure__^_ Move <br />Remodel/Alteration_ _ Renovate_ _ _ Land Alteration^ <br />PROPOSED WORK (describe in detai 1); <br />STORIES:SQ. FEET OF EACH FLOOR: <br />NO. OP BEDROOMS:garage STALLS: ATT.DET. <br />jiSTIMATBD CONSTROCTION VALUATION (excluding land): $ <br />I hereby apply for a building permit and I acknowledge that the information <br />«bove ia 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 />•inderstand this is not a permit and work is not to start without a permit; and <br />-hat the work will be in accordshcs with the approved plan. <br />PPL1CAHT*S SIGNATPRE DATE: