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r,., . <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total �'ee: $ `� � (�:-:-� t j Date Received: � - � I- t j U <br /> Date Approved: /C%- >�� -� (:; <br /> Entered By: ��1� _� <br /> Permit#: -._> >-�� �� <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN RF.VIS'W WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------- ----------------------------------------- <br /> THB APPLICANT IS: (circle one) OWNER r CONTRACTOR <br /> JOB SITE ADDRSSS: �'�,q �< /�j /�p � h J�� „5� ,, ��, �'� ZIP: �S�'39/ <br /> (work) 5'�� - �/ �q <br /> NAME OF OWNER: � �� �� c� 2 PHONE: (home) y7��- �/7751 <br /> MAILING ADDRESS: I�� ,- B � v�� „So ' CITY:� 2r.c�c� ZIP: 5�S 3 -r'/ ,� <br /> CONTRACTOR: � �z,�. �r m S , C_ � ,,� �� , PHONE: ��f� -- �-o y �_ <br /> MAILING ADDRESS : V.� L T�' /' ! �2 � CITY: ZIP: <br /> TYPE OF WORR: New Addition� Accessory Structure Move <br /> Demo Remodel/Alteration Renovate_� Land Alteration <br /> PROPOSED WORR (describe in detail) : ��� � T,'a , r,� � ,,� ���,-��,.�- 5�'°�%�S �3a�. <br /> L-c� u �,. a� lo � A e � or a ; �1 <br /> ��I. � I ,� a ��..� -�...✓�1 � �Z c��� 3"e a-.r' z''- Tr '.,.., G� <br /> STORIES: I SQ. FEET OF EACH FLOOR: � � 0 _ <br /> �70. OF BEDROOMS: � GARAGE STALLS: ATT.� DET.�� <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ � ��d 4 B 7� �-�, D o'� <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 /> anderstand this is not a permit and work is not to start wi�hout a permit; and <br /> :hat the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATIIRE: � ` " DATE: �- �> � �� <br />