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� " ` CITY OF ORONO - BQILDING P$RMIT APPLICATION <br /> Total Fee: $ l �(i,�" Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: �� <br /> j.�T.T. INFORMATION MIIST BE SIIBMITTED IN FULL BEF�RE PLAN RF3VIgW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> ---------------- <br /> THE APPLIGANT IS: (circle one) OWNER o CONTRACTO <br /> JOB SITE ADDR$SS: ���� ��r�C� �-���-�� ZIP: <br /> twork) y'7/�-���3 <br /> �� �F ���. �� i��j PHONE: (home) �71-`7.�9"7 <br /> MAILING ADDRESS: 3 a�5 �;��C..b C�z l� CITY: ZIP: <br /> CONTRACTOR: l,(��ST L�,fl-K� ����� PHONE: ���/- C��v S�� <br /> :KAILING ADDRESS : ���,��^_�AZ� CIT�'��.� : ZIP: �5 3�y <br /> TYPE OF WORR: New Addition Accessory Structure� Move <br /> Demv Remodel/Alteration Renovate_� Land A1 eration <br /> PROPOSED WORR (describe in detail) :�Ji 5,�, ��� � ���—��^� ����` <br /> ���� . <br /> STORIES: � SQ. FEET OF EACH FZ�OOR: p�o� X ,3U ��?/3¢G <br /> NO. OF BSDROOMS: GARAGE STALLS: ATT. DET. . S� <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding 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 wbrk is not to start without a permit; and <br /> that the work wil 1 be in accordance with the approved plan. <br /> APPI,ICANT'S SIGNA�'��'— q � �r-� . .�/� DATE: � ��O <br />