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CITY OF ORONO - BIIII�DING PERMIT APPLICATION <br /> Total Fee : $ ���• S �� Date Received: 9�7�9 i <br /> Date Approved: <br /> Lntered By: , �w� � <br /> � � Permit#: ��{l <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN RSVIE`W WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER br CONTRACTOR <br /> JOB SITE ADDRBSS: � � ', , , . _ ZIP: <br /> (work) <br /> NAME OF OWNFR: !.�-,=', ' ' S/� PHONE: (home) <br /> MAILING ADDRESS: ' ' ! �. ' CITY: . ZIP: <br /> CONTRACTOR: _ " % � s" - PHONE: <br /> MAILING ADDRESS: "'t� ( . CITY: ' � ZIP: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remo�/Alteration Renovate Land Alteration <br /> �ROPOSED WORR (describe in detail) : � J � �� � <br /> ' ' ' ' ' /� r.�, �'%i� ' � ' . . , '� �.� . <br /> STORIES: , <br /> � SQ. FEET OF EACH FLOOR: /�%-%� <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. — DET. — <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding land) : $ <br /> I hereby apply for a building permit and 2 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 /> anderstand 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 /> ; r <br /> APPI�ICANT'S SIGNATQRE: � - " DATE: <br />