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CITY OF ORONO - BIIILDING PERMIT APPLIC�TION <br /> Total Fee: $ � Q � ��� Date Received: ._ <br /> Date Approved: <br /> Entered By: permit�: �� C5� K� <br /> AF•T. INFORMATION MIIST BS SIIBMITTF.D IN FULL BEF�� P�N �01� �� B$ STARTEI) <br /> ------------------ <br /> ------ -------------------------------------- <br /> �E gppI,ICANT IS: (circle one) OWNER or CONTRACTOR <br /> ' �L ���I..rJ �� C,�� ZIP: ��J� � <br /> JOB SITS ADDRESS:,'��� <br /> (work) <br /> 1 ��� �( <br /> NAME QF OWN$R: <br /> ��� I,.._ � \ �IE��J t� PHONE: (home) -1�� ��( � <br /> MAILING ADDRSSS: i-�Z�� CI"�= ZIP: _. <br /> _� t`��' ��E�1�S 1 f PF30NE:�v�"�C���' _`">�! 3 <br /> CONTRACTOR- <br /> � -�a.��O Q�1'� �✓ Z I P: �(� 1 J <br /> MAILING ADDRESS: �G��� ��'• ��' w'�"� CITY: - <br /> TYPE OF WORK: New Addition Accessory Struc�ure Move <br /> Demo Remodel/Alteration Renovate� Land Aiteration <br /> ;� (�� � � <br /> RR describe in detail) : \'������C'-- �"' �`�� v�` �' �' ��� <br /> PR�POSSD WO � <br /> STORSES:� S4- F�T OF EACH FLOOR: �� � <br /> NO. OF BgDROOMS: GARAG$ STALLS: ATT. DET.� <br /> ESTIMATED COFSTRIICTION VALIIATI�N (ezclndiag land) : $ 2��U+�'� <br /> I hereby aFply for a building permit and I acknowledge that the informat: <br /> above is complete and accurate; that the work will be in conformance with �:. <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a Fermit and work is not to start without a germit; ��: <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATIIRE y�Gs�j�� ��`�--� IIAT�: ���, .._ <br /> , <br /> (Please fill ou the reverse side of this form) <br /> 4 <br />