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CZTY OF ORONO - BUILDING PERMIT APPI�ICATION <br /> Total Fee: $ Date Received: <br /> IDate Approved: <br /> � Entered .By: <br /> i <br /> Permit#: <br /> I <br /> I <br /> 1 <br /> I <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> i <br /> i --------------------------------------------------------------��.��--�--------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SI TE ADDRESS: � :� �� C/9SC�� G/�SL LL Z IP: ,S�;3 �,��//� <br /> (work) <br /> NAME OF OWNER:_ (�-e,v �- ,L o �g SJ�� PHONE: (h ome) �/7�-�'1:37 <br /> MAILING ADDRESS: �.:�J/ �-�3��-�, C�� CITY: �,���,�,i� ZIP: :5�� -��/ <br /> CONTRACTOR: ,`� �/J v �, �vj G�K' PHONE: <br /> MAILING ADDRESS: ;,�1G 5� Lr�i `'S✓-�L ���-� i'D CITY:_�/�✓;z�-T,� ZIP: ,��.-3 1i <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ;�c�.,y�:�� e_ ���v 5��� ���s - /��.v .c ���t� - <br /> j �� �� S/Z/-�s — !���� l>��� <br /> STORIES: � SQ. FEET OF EACH FLOOR: �5 � <br /> NO. OF BEDROOMS: --Z GARAGE STALLS: ATT. DET.� <br /> _� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ ��G'�� <br /> I hereby apply for a building permit and I acknowledge that the informatic <br /> above is complete and accurate; that the work will be in conformance with tr <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a permit and work is not to start without a permit; ar <br /> that the work will be in accordance with the approved plan. <br /> „ <br /> APPLICANT'S SIGNATIIRE: `�� �.�. �, � DATE: //- ���L� <br /> � <br /> (Please fill o t e r erse side of this form) <br />