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' CITY OF ORONO - BDILDING PERMIT APPLICATION <br /> ' Date Received: d �� <br /> Total Fee : $ ��� � �-� <br /> Date-Approved:� <br /> � <br /> Entered By: .�ti� Permit#: ��cri � <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FOI,L BEFORE PLAN REVI�r1 i�TII.I, BE STARTED <br /> (See Check-off List Enclosed) <br /> T�E APpLIGANT IS: (circle one) OWNE�lor CONTRACTOR <br /> JOB SITS ADDR$SS: / � � 1 1� �"�I���r ��"��� \��° ZIP: 5�� 3��� <br /> � 5(`C W t V � �� Na <br /> (work) <br /> NAME OF OWNER: � <br /> �t� r.� �'i.5 �, �� �c�t �� �' PHONE: (home) ��r���lGa/ <br /> MAII,ING ADDRESS: ���� �«��+.1 r I"���(� �� CITY: ����'�%►�� �I"''`; ZIP: ��3`1/ <br /> CONTRACTOR: �f=y( � PHONE: <br /> MAILING ADDRESS : CITY: ZIp= <br /> TYP$ OF WORR: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe i.n detail) : � I G't c 1� ' ��vi C �� �`ct r� ��r�� z ��� � ���'�``� <br /> L� f � ` ;,U:,,^v� ��.(, =. �o Lv�` GZc��K l ���''►� <br /> "'_c�r ��I uC�irQ c -r i��� c_ l�a' (CtC i v� <br /> 5�(�� LC S r''!`t sc v.'� � v� <br /> �. <br /> STORIES: � SQ. FEET OF EACH FI,OOR: <br /> N�. OF B$DROOMS: � G�GE STALLS: ATT. DET.� , <br /> � ��'C:% �'� <br /> SSTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ / > - <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 work is not tved alan. ithout a permit; and <br /> that the work will be in accordance with the app � p <br /> ��V''u`,�' � -'lC � � � <br /> � . /� DATE: ( <br /> APPLICANT S SIGNAT'IIRE' <br />