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CITY OF ORONO - BDIZ�DING PERMIT APPLICATION <br /> .I. Fee: $ Date Received: <br /> Date Approved: <br /> .itered By: <br /> Permit# : <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIJLL BEFORE PLAN REVIE'W WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR <br /> Jos SITE ADDRESS: 13 9 S ��,�-�,,-�, �'c�l, 5 � � , ��,•zw�,�. zzp: �S3 9/ <br /> (work) <br /> y� 3 - y>>s' <br /> NAME OF OWNER: � j � 1 I q� PHONE: (home) ��- <br /> MAILING ADDRESS: �39 s�ro w t^ � �S� ' CITY:�JT z �� ZIP: ss 3 �,� <br /> CONTRACTOR: � a�' l�vi � PHONE: <br /> 1KAILING ADDRESS : CITY: ZIP: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration�_ <br /> PROPOSED WORR (describe in detail) : 0� i� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTROCTION 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 to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATORE: ^ � DATE: � -- �' - `� D <br />