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CITY OF ORONO -`BIIILDING PERMIT APPLICATION � <br /> Total Fee: $ Date Received: <br /> Date-Approved: � <br /> --- <br /> Entered By: <br /> Permit�: <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIJLL BEFORE PLAN RSVIB�W i�lILL BE STARTED <br /> (See Check-off List Enclosed) _ <br /> ------------------------- <br /> THE APpZIGANT IS: (circle one� OWNER o CONTRACTOR � <br /> � <br /> JOB SITE ADDRESS: � � � � �O � � ��D ZIP: �j � �� <br /> (work) <br /> NA1�SE OF OWNER: �u �.� ����t� r PHONE: (home)¢7�`7a�� <br /> MAII,ING ADDRESS: tJUX I� 7 CITY CQY�T�}'l- .U/7� ZIP: ���� <br /> CONTRACTOR: ^Q�� � � ����"' PHONE: ���" �� �� <br /> MAILING ADDRESS : �� � ���- � CITY' ��N � ZIP' <br /> TYP$ OF WORR: New Addition Accessory/Structure Move <br /> Demo Remodel/Alteration Renovate �r� Land Alteration <br /> PROPOSED WORR (describe in detail) : +' � � w��- � ��� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGE ST�LS: ATT. DET. _ <br /> ) Q� <br /> BSTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ I �� - <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 Ci d with the State Building Code; that I <br /> understand this is not a permit and wo is not to start without a permit; and <br /> that the work will be in accorda ce with the approved plan. <br /> ' IGNATQRE: ���'�� DATE:� <br /> APPLICANT S S <br />