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� � CITY OF ORONO - BQILDING PERMIT APPLICATION <br /> T,otal Fee : $ �� �� �� Date Received: j�- f� -r' <br /> � Date Approved: �(� ��� <br /> i <br /> Entered By: ������ <br /> Permit#: <br /> ALL INFORMATION MDST BE SIIBMITTED IN F[TLL BEFORE PLAN REVI$`W i�IILL BB STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------- -----�--------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER r CONTRACTO <br /> JOB SITE ADDR$SS: o�� J� 1 �`rw�CLv� J�. � O�'Vl� ZIP: 53 3� 3 <br /> (work) — <br /> NAML OF OWNER: �Ci.11MGc.�(' ,�V"v _�P PHONE: (home ) -7�(� ' ��� <br /> MAILING ADDRESS: �W� c�.,� �i�1 c�-v�_ CITY: ZIP: � <br /> CONTRACTOR: � � S PHONE: t �l( � I 30�� <br /> MAILING ADDRESS: ����j ���;i,���GlX7iC^'L1��CITY: �r ZIP: ��3� <br /> TYPE OF WORR: New Addition � Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> f� ,` , 3 <br /> PROPOSED WORK (describe in detail) : �j�CX�Y�-�.-�,'�h�.�nr6-�wv� A 1� <br /> STOR213S: 1 SQ. FEET OF EACH FLOOR: � �J� _ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. . <br /> $STIIKATED CONSTRUCTION VALIIATION (ezcluding land) : $ a�, L � � <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 a with the State Building Code; that I <br /> understand this is not a permit and or is not to start without a permit; and <br /> that the work will be in accordance wi h the ap rove plan. <br /> APPLICANT'S SIGNATORE: C°�Z-1l� G DATE: �o �� <br />