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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> � ,� <br /> �otal Fee: $ �� ��� Date Received: <br /> Date Approved: <br /> E:Ztered By: <br /> Permit#: �S� � <br /> ,.�LL INFORMATION MIIST BE SIIBMITTED IN FULL BEFORE PLAN REVZEW WILL BE STARTED <br /> ���������������������������������������������������� <br /> THE APPLICANT IS: (circle one) OWNER or, CONTRACTOR� <br /> JOB SITE ADDRESS: �•�3; l.�,fa�<_ �� ,l/7C:L. c= ZIP: < < --�3 ' % <br /> (work) <br /> NAME OF OWNER: ���� ����R �- � �1 J !: I^'� PHONE: (home)���-7��-`i ) <br /> MAILING ADDRESS: ��/�h-•, � CITY: ZIP: <br /> : <br /> CONTRACTOR: I,��" j`� �i"►�ij`-l� C��ti`T`•rZC,I, 1�iv�-' PHONE: ` 7� -F�_��1 <br /> MAILING ADDRESS: �l 7S� C_,�'J�'c�� -���7�� �Gt,'t� CITY:/h�'/�,-.-1� ZIP: ���'G C. <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration)� Renovate Land Alteration <br /> / �� <br /> �� <br /> PROPOSED WORR (describe in detail) : �L Fl r� ,,�r /=����' � i"'� V ��%- � t % l:ti �� <br /> _�- '��-�`J_�j: <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> _%�::� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ � `f �S - <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 Fermit and work is not to start without a permit; anc <br /> that the work will be in accordance with the approved plan. <br /> � <br /> � <br /> APPLICANT'S SIGNATIIRE: �/(�/�%��_' :-��,.�� � .-y-=� DATE: ��� ��-�`% <br /> (Please fill out the reverse side of this form) <br />