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' " ' � ' CITY OF ORONO - BIIII,DING PERMIT APPLICATION <br /> Tota� Fee: $ Date Received: � "�0�7 �� <br /> Date Approved: <br /> Entered By: <br /> Perinit�: <br /> AT•T• INFORMATION MIIST B$ SIIBMITrF•D IN FiJLL B�FORS PI,AN REVIEW WII.L BB START� <br /> ----------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> / / : r ,,. , <br /> JOB SZTS ADDRESS: e i,�I-5 C..c.� / �I� ZIP: , � <br /> (work) , : . . <br /> NAME OF OWNER: � � ' ` ���t.J `��C,1 L ,' PHONE: (home) <br /> MAII,ING ADDR$SS: i.'� �� �` �; /. � ' CITY: �. � `t� P� � /�:�'j6'��� ZIP: � '. �' ; i <br /> CONTRACTOR: �'l� �! PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure ,�_ Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOS� WORR (describe in detail) : �1` =/% � � ` <br /> �,;�. ,� . . . a� ,�_ .� � , i <br /> STORIES: � SQ. FEBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: t%1'. GARAG$ STALLS: ATT. DET. <br /> .. , <br /> ESTIMATED COASTRUCTION VALIIATIOF (eaclnding la.nd) : $ ` <br /> I hereby apply for a building permit and I acknowledge that the informatic <br /> abone is complete and accurate; that the work will be in conformance with t: <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 permit; a: <br /> that the work will be in accordance with the approved plan. <br /> ; � , . � <br /> APPLICAFT'S SIGNATIIRE: � ' , DATE: `- � <br /> (Please fill out the reverse side of this form) <br /> 4 <br />