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� 4, ` CITY OF ORONO - BOILDING PERMIT APPLZCATION <br /> Total Fee : $ Date Received: �7 � G1� <br /> Date Approved: `�'��J-��� <br /> Entered By: � ' <br /> Permit#: �� �` <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FTJLL BEFORE PLAN REVIE'W WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLIGANT IS: (circle one ) OWNER or C NTRAC OR <br /> JOB SITE ADDRESS: ��S�/ CC��a-- � ZIP: tiS`�5��� I <br /> (work) <br /> NAME OF OWNER: �f U �`� 7`u Lc q� PHONE: (home) �����"� `�7 7 <br /> MAILING ADDRESS: ����( �ic,SC U �� CITY: Q ��nU ZIP: `�-���'� r <br /> CONTRACTOR: �� ��` ��'�r � C� PHONE: � 7 � —��3 �- <br /> MAILING ADDRESS : �!1 C!C' j� �s-C �i'" CITY: s �-i �- a �/� ZIP:{�'���� <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remode�/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �c�TG/-� �� ��uG`'`�� �"` <br /> c�.h,` ,. .�'�s f„� � � ; � <br /> STORIES: "� SQ. FEET OF EACH FLOOR: �.. <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET. <br /> � <br /> ESTIMATED CONSTRUCTION VALIIATION (egcluding land) : $�d d�� <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 work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATQRE: '� DATE: �'J U <br />