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� CITY OF ORONO - BIIILDING PSRMIT APPLICATION
<br /> Total Fee: $ �(�/� J�� Date Received: �`�� -��O
<br /> /�,: ._�
<br /> Date Approved:
<br /> Entered By: �,Qd:i'`�
<br /> Permit#: _� i�� �'
<br /> .r�I.L INFORMATION MIIST BE SIIBMITTED IN FiJLL BEFORE PI,AN REVIE�1 i�TILL B$ STAR7.'ED
<br /> (See Check-off List Enclosed)
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<br /> � APPLICANT IS: (circle one) OWNER or CONTRACTOR
<br /> <' `� `� � � � � � ,�.,' � ,,, �, ,. ZIP:
<br /> JOB SITE ADDR$SS: � � - ,l ,-� ( � i � � � � .
<br /> (work) �; � - -� - �' �
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<br /> NAME OF OWNER: , � � J ✓ , PHONE: (home) ,
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<br /> ?KAII�ING ADDRESS: � _ -� �' ,' ,' '�y� ,� �,� CI�'Y:� , �� ; �r-� �, ZIF: � , �
<br /> CONTRACTOR: ,,,y� � PHONE:
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<br /> MAILING ADDRESS: -? '� ; '' ' • , � � _ CITY: �' . " !� � ZIP: � - �
<br /> TYPE OF WORR: New Addition Accessory Structure Move
<br /> Demo Remodel/Alteration Renovate Land Alteration
<br /> PROPOSED WORR (describe in detail) : `;, L, F ,- � ,
<br /> STORIES: SQ. FEET OF EACH FLOOR:
<br /> NO. OF BSDROOL�IS: GARAGE STALLS: ATT. DET.
<br /> $STIMATED CONSTRDCTION VALIIATION (egcluding land) : $ _ � �� ' ' �
<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 ac�cordance with the approved plan.
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<br /> APPLICANT'S SIGNATORE: r, � _ i' ,. � DATE:_7' ,� " —
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