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CITY OF ORONO - BIIII�DING PERMIT APPLICATION <br /> Total Fee: $ Date Received: _ <br /> Date Approved: ���-%� _ <br /> Entered By: �fJ — <br /> Permit�: � � �� �� <br /> A7•T• INFORMATION MDST Bg SIIBMITTED IN FIILL B�FORS PLAN REVIEW WILL_B$_STAR�ED_T <br /> ------------------- <br /> ------------------- <br /> -�------------------ <br /> �g� p�ppl,IC�NT IS: (circle one) or CONTRACTOR <br /> ,p �,, zzP: � ��.�3 �` � <br /> JOB SITE ADDRESS: � � � � �Cti�'iC C"_i? � _ <br /> (work) <br /> � <br /> � <br /> `� PHONE: (home) rv7/�il. <br /> NAME OF OWN$R: -�--��-� )`Z �— <br /> MAILING ADDRBSS:� � CITY: `�'G ��'` ZIP:�5 c��_?� I <br /> � � � �-�`���G�Q Ei?. - <br /> PHONE: � �� �f 7 � _._ <br /> CONTR.ACTOR: �%`��Z-�/� <br /> " � � �{L� CITY: �l/�'�G �� ZIP: <br /> MAILING ADDRESS: � � � — <br /> Move <br /> Z'Y�PE OF WORR: New Addition Renovater� truLandeAlteration��� <br /> Demo Remodel/A�teration � <br /> �'�' � �� � <br /> PROPOS&D WORR (describe in detail) : .��-� <br /> STORIES: SQ. FEBT OF EACH FI,00 <br /> R: "'o� �� , v G/ _ <br /> NO. OF BgDROOMS: "�� GARAG$ STALLS: ATT. DET. <br /> ESTIMAT'ED CONSTRIICTION VALIIATION (exclnding land) : $ -- <br /> I hereby apply for a building permit and I acknowledge that the informat�_ <br /> above is complete and accurate; that the work will be in conformance W1�ha� <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a germit and work is not to start without a permit; �: <br /> that the work will be in accordance with the approved plan. <br /> ` DATE: � � � <br /> A.PPLICAAT'S SIGPIATURL: � ✓����J�� <br /> (Please fill out the reverse side of this form) <br /> 4 <br />