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, <br /> CITY OF ORONO - BIIII,DING PERMIT APPLICATION <br /> Total Fee: $ � �.5� , S Date Received: <br /> r�� Date Approved: <br /> Ent�red By: ��' <br /> Permit#: �� '1S�' <br /> AT.T. INFORMATION MIIST BE SIIBMITTED IN FLJLL BEFORE PLAN REVIgFI WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------ ----------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER `or CONTRACTOR <br /> JOB SITE ADDRESS: /`//�I. J�✓�/Gr}iJ� �'�� �/�. ZIP: j�j �� / - <br /> C��->il/^� <br /> (work) y1/-�,�,r;�� <br /> NAME: OF OWNER- �� ��,' �/S /y�G 1=U�s• PHONE: (home) ��7/ - `�k,��� <br /> MAILING ADDRESS: /L1�'� �/TC/��//� �'K, /`i/) CITY: 1/v�i�Zi7%/?- ZIP: S.S�i/ <br /> CONTRACTOR: PHONE: <br /> :KAILING ADDRESS : CITY: ZIP : <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> P�?OPOSED WORR (describe in detail) : RL��'v� �iti�GLk C'�J� C'/rk%�GL '� ✓�����5�� <br /> l=X r�rir�G� w/���> T r h�i�i�� ��av.�3�� G-/��/�-c L � <br /> STORIES: I SQ. FEET OF EACH FI�OOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. X <br /> , <br /> ESTIMATED C�NSTRIICTION VALIIATION (egcluding land) : $ �e/G��r�' • C-'Z> <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 w�rk is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> '� ,�, �- ;� DATE: �/��/��' <br /> APPLIC�NT'S SIGNATIIRE: , <br />