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„, CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �j � ��� �5 G' Date Received: � - 7 - ��_ <br /> -� <br /> `� Date Approved: <br /> Entered By: �`-'��' . � <br /> '� � Permit#: ��-�''s <br /> AT•T. INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIE`W WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> 2'HE APPLICANT IS: (circle one ) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: `� Y"y G�St�`� �� . �"� ZIP: S �3 J � <br /> (work) 3''� Z �-u'�= <br /> NAPSL OF OWNER: lZ.='j„�' � . �✓��U�-c� l � PHONE: (home) �'�”t �3� )� <br /> MAILING ADDRESS: 2�t%� ��>f� �t - �� • CITY� (�,/v�-c: ZIP: � � �`7 / <br /> CONTRACTOR: PIiONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New Addition ,i Accessory Structure Move <br /> Demo Remode�/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) :_.��r s'�� �I �'7 �`~���� �� �, ��'�� /��'•"' — <br /> G%XK'�OCI� ��oL;v �r f r/c�yc+ �U e--sc.l.�ra �o ;�.:.�i L1. <br /> STORIES: SQ. FEET OF EACH FI�OOIZ: <br /> NO. OF BEDROOIKS: GARAGE STALL:i: ATT. DET. <br /> ESTIMATED CONSTRDCTION VALIIATION (egc:luding land) : $ 5��`�`� _ <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 a;nd 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 w:ith the approved plan. <br /> ' � �� - r-y� <br /> APPLICANT'S SIGNATQRE: ��--. DATL: <br />