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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ 7 `T� 5� Date Received: /�":��—�� <br /> - - Date Approved : f <br /> Entered By: _ � <br /> Permit#: '� U 7 � <br /> AT•T. INFORMATION MDST BE SOBMITTED IN FIILL BBFORE PLAN REVIEW WII�L BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTO� <br /> JOB SITE ADDRESS: ! '�`�(,P ��.'���%� - � ��_ ZIP: <br /> (work) <br /> N�ME OF OWNER: T��'--L �-7� � PHONE: (home ) <br /> MAILING ADDRESS: � �-�(o ��L�'.!:�- ��� CITY: ('����t��� , ZIP: <br /> �-� _ <br /> CONTRACTOR: . (�/J� - PHONE:���, � �� oC��' <br /> MAILING ADDRESS: �� � �'r�IV���4�L7.�i`� CITY: �i C-tiTT'7f.-�-Z-� ZIP: d��?�('7.7 <br /> �'V� <br /> � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �G`�j,.i�"`— H- �1 `��-��� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> :�0. OF BEDROOMS: GARAGE STAI,LS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ �P��� <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 /> �rdinances and codes of the City and with the State Building Code; that I <br /> understand this is not a Fermit and work is not to start without a permit; and <br /> that the work will be in accordance with the aFFrove plan. <br /> APPLICANT'S SIGNATURE: _ DATE: �'� Z �= 1I <br /> (Plea fill out the reverse sid of this form) <br />