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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received• <br /> Date Approved: <br /> Entered By: <br /> Permit�:��� <br /> AT•T• INFORMATION MIIST BE SIIBMITTID IN FIILI� BEFORE PLAN REVIEW WILL BE STARTED <br /> --------------------------------------c-------------------------------------- <br /> THE APPLICANT IS: (circle one) �� or CONTRACTOR <br /> 30B SITE ADDRESS: ����S L�-SC'` i� C' �� �L�-c� ` C.v'�a-����*�ft ZIP: S 5�3�r / <br /> (work)�D 3- �i 7-y'�s-y <br /> �AME OF OWNER: �, ,�. / , ���= �� ✓��` 7� PHONE: (home) ��/-�',� �`� <br /> MAZLING ADDRESS: J -�',�S C` i't�c- �. ��.��'-C�-, CITY: L� is�j Z <r �iti-- ZIP: S 5�3 i/ <br /> CONTRACTOR: PHONE: <br /> !�iAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> ?ROPOSED WORR (describe in detail) : ,�`�--�`��+ � ��� � ��- %��' ���J>>�rc(� <br /> � �i � <br /> STORIES: SQ. FEET OF EACH FLOOR: � '� <br /> �IO. OF BEDROOMS: GARAG$ STALLS: ATT. DET. <br /> �,, <br /> �. � ` <br /> ESTIMATED CONSTROCTION VALIIATION (excluding land) : $ ��? C% � <br /> I hereby apply for a building permit and I acknowledge that the informatior <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 �ermit and work is not to start without a permit; anc <br /> that the work will be in accordance with the approved plan. <br /> r,. \ � /� _C, , <br /> APPLICANT'S SIGNATIIRE: \� ') . '�� �G,�� DATE: ,� � � <br /> (Please fill out the reverse side of this form) <br />