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�' ` � CITY OF ORONO - BIIILDING Pffi2MIT APPLICATION <br /> Total Fee: $ Date Received: �"�3 ��' <br /> , - <br /> Date Approved: <br /> Entered By: �,���. �fs <br /> Permit#: <br /> AT•T• INFORMATION MLTST BE SIIBMITTED IN FIILL BEFORE PLAN REVIgW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one ) OWNER or ONTRACTOR <br /> JOB SITE ADDRESS: /� �7L-� f�-C_�v�- t�(�ek c�a ZIP: �S 3�i � <br /> (work) <br /> NAME OF OWNER: t.,�,I`��I. U� '! L�J�r r/�. PHONE: (home) µ'11 _ <br /> , <br /> MAILING ADDRESS: / �"� � �k}��j? CITY: ('�j�L ti,',� ZIP: ...��_�� <br /> CONTRACTOR: NU�-`��=v��J I�tJ� / �/�'� PHONE: �;�;, % - ���CI�� <br /> '�IAILING ADDRESS :_(� >"?I L�`�>�'Jo°r� f-��� S�. CITY: �7�'Lt� ZIP: � SS�{ I� <br /> TYP$ OF WORK: New Addition Accessory Structure Move <br /> Demo_�_ Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : (�E✓��Cx,�,�,i �� ��jP-�TI-(- - f��r�� �u'Cr dv�c� _ <br /> �!k/� ft�v1� r�,����.,�.�`� _ �.vc�.��e�� J�✓� . 5f�v«i� '��Nk , �77� �Lf�l . <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> ��10. OF B$DROOMS: GARAGE STALLS: ATT. DET. <br /> 7�STIMATED CONSTRIICTION VAI�IIATION (egcluding land) : $ �r�, OC�C� <br /> �_ 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 /> inderstand this is not a permit and work is not to start without a �ermit; and <br /> that the work will be in accordance with the approved plan. <br /> "tPPLICANT'S S IGNAR'QRE: , iVV' '� DATE: 7-�._�j - c�� <br /> j� �/.�� ���S <br /> , ,�. � t �f � ,���-a5' ,��c�' � ��-- �.� <br /> �Y o��-- � 7/� �/F� <br />