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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> � . t��� <br /> � �c•' � , � <br /> �'otal Fee. '�'e1} `' � Date Received: <br /> � ;,� Date Approved: <br /> , Entered .By: <br /> � Permit#: � �`� � <br /> � <br /> i <br /> ALL INFORMATION MDST BB SITBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> " ------------------------------------------------------------------------------• <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: �N.� ,f� ���W�N �L�� ZIP: t��c���p <br /> (work) <br /> NAME OF OWNER:_�(/��2 v'►-� /��-f. ��'YJf�� PHONE: (home) <br /> -r - <br /> MAILING ADDRESS: �l i(� f. l�rc�/� 2C CITY:,�J✓l� ��-� ZIP: "SS�S� <br /> CONTRACTOR: 5��, V� ,' PHONE: ,��-��O 6 J� <br /> MAILING ADDRESS:�7`_� �� / � � CITY:�c�� �� //(� ZIP:S -��� <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �� u �- � idp(� .�k.STrs, s�c�� �G�'� _. <br /> F�r rir�1�/ �f� l✓� i.L. �'!n r'v..c �o �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> r,j <br /> ESTIMATED CONSTRDCTION VALIIATION (excluding land) : $ /�, '��� ` /G�C <br /> I hereby apply for a building permit and I acknowledge that the informatic <br /> above is complete and accurate; that the work will be in conformance with t� <br /> ordinances and codes of the City and with the State Building Code ; that <br /> understand this is not a Fermit and work is not to start without a permit; ar. <br /> that the work will be in accordance with the approved plan. <br /> j � <br /> APPLICANT'S SIGNATIIRE: / r:� .� DATE: - I`- �I <br /> (Please ill out the reverse side of this form) ^ <br /> ��e 3 ��► ) <br />