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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ � �� �S Date Received: <br /> Date Approved: <br /> Entered By: a -7 <br /> Permit#: �� �� <br /> ALL INFORMATION MIIST BE SUBMITTED IN FULL BSFORE PLAN REVIEW WILL BE STARTED <br /> ----------------------------------- -�--------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> �- G�l � S � ZIP: ���'��t�C � <br /> JOB SITE ADDRESS: „ f/� � � D� � � � <br /> (work) <br /> N� oF OWNER: �/9 � � 1 l�� � ' 1P1 .� � � � Psor�: (home) %I s-'�--J �� <br /> MAZLING ADDRESS:� CJ ' Q c'� � � � CITY:��Z�S�ia� U� � ZIP: ���.�1 � <br /> I <br /> CONTRACTOR: � �I� �� ,� ���7 ��� � `��r�� PHONE: /�2 `� <br /> MAILING ADDRESS: CITY: f���✓c,(,l �'' ZIPs � J��C L <br /> TYPE OF WORR: New Addition Accessory�tructure Move <br /> Demo Remodel/Alteration Renovate �� I,and Alteration <br /> PROPOSED WORR (describe in detai 1) : (�C ' � � L'+ /� u d hr ' S � ��- `-%/�J �i 1 �7 � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRIICTION VALUATION (excluding land) : $ 1�� � <br /> I hereby apply for a building permit and I acknowledge that the informatior <br /> above is complete and accurate; that the work will be in conformance with thF <br /> ordinances and codes of the City and with the State Building Code; that � <br /> understand this is not a permit and work is not to start without a permit; an� <br /> that the work will be in ccor ance�wit t e ap roved plan. <br /> � , .. <br /> APPLICANT'S SIGNATIIRE: - �'/ " �'`�V 4.�-� G7 -- DATE: `�/ �U <br /> (Please fi o t the reverse sid of this form) <br />