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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> 1 <br /> � Date Approved: <br /> ; Entered .By: <br /> ' Permit#: <br /> I <br /> � <br /> ' ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> ' ------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or ONTRACT <br /> �.�`� -� A1 a1�U fl' <br /> JOB SITE ADDRESS: L � � YZLS� ZIP: <br /> (work) <br /> � L <br /> NAME OF OWNER: 0 ��� QykU'��, �I' � PHONE: (h ome ) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: ���I���ODT�i�lO PHONE: ��7 3-3 39 7 <br /> MAILING ADDRESS: ���j Z.S C(�,N� � �Y CITY: J ZIP: S S�y] <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : f���vl,�lJ2 Q� }jU,(���,/J ��1C�U2Q!"p��•.�lS� <br /> U�S�I�i�-,�oci.�. �cc-��I°Dl►� ��cr II/I,�h�'Yi� 1�� ,���, ���.�, <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRIICTION VALUATION (excluding land) : $ l �i �� <br /> I hereby apply for a building permit and I acknowledge that the informatic <br /> above 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 i not to start without a permit; ar <br /> that the work will b i \c nce with he ap v plan. <br /> APPLICANT'S SIGNATORE: DATE: ' �- Sf'� � <br /> (Please ill out th rev se side of this form) <br />