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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $��) , �� Date Received• <br /> Date Approved: � <br /> Entered By: Permit#:�(�t�� <br /> ALL ZNFORMATION MIIST BE SIIBMITTED IN FDLL BEFORE PLAN REVIEW WILL BE STARTED <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: �-�� ��J��C� �T i�: `� ZIP: ,�5� 7� <br /> (work) ���-3�,� <br /> NAME OF OWNER: `��iy/� ��/C//i� �>�L� O C��� PHONE: (home) � y,�-��'� <br /> MAILING ADDRESS: _�a �� /�GJS�c� ���� CITY: ��cl�c�� ZIP: ��-�J�/� <br /> CONTRACTOR:����� �. ��1il�c� ��.liir�i�S�G��?��i%, PHONE: �j��G� S� <br /> � <br /> MAILING ADDRESS: �y���'i!�`'G� ��f7P CITY: ii!/l/l/��"/ ZIP: _��.��� <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> � /� <br /> PROPOSED WORR (describe in detail) : ,`� '/�po'� ��� --��� <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTROCTION VALDATION (excluding land) : $ �5�� <br /> I hereby app ly for a bui lding permit and I acknowledge that the informatior <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 �ermit and work is not to start without a permit; anc <br /> that the work will be in accordance with the approved plan. <br /> APPI.ICANT'S SIGNATURE: DATE: ���' c� / <br /> (Please fill out the reverse side of this form) <br />