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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> iotal Fee: $ �� � Date Received• ��/ � ��� / <br /> � ` �- - Date Approved: <br /> �ntered By: ^ Dt <br /> � Permit# � �� ��_, <br /> ALL INFORMATION MUST B$ SUBMITTED IN FQLL BEFORE PLAN REVIEW WILL BE STARTED <br /> ------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> f''� /� <br /> JOB SITE ADDRESS: �� ��, I,�/u..Gt"�i.�il. ) ZIP' <br /> (work) <br /> N�ME OF �WNER: � , ��^ PHONE: (home) <br /> MAILING ADDRESS: l.�(2_�-n,.� _ CITY: ZIP: <br /> CONTRACTOR: C�C��C.Y�,,-� �iY�r1'. l�_2�� PHONE: �I 7� `�I � I ;'� <br /> MAILING ADDRESS: I (�� � ��..�-c' ��,-�, CITY: � : ?� ZIP: j _5 y `I � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_�` Renovate Land Alteration <br /> � <br /> PROPOSED WORR (describe in detail) : � ' r ;2v . <br /> � � � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � I �' � <br /> ESTIMATSD CONSTRIICTION VALIIATION (excluding 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 Fermit and work is not to start without a germit; and <br /> that the work will be in accordance with the aF�roved plan. <br /> APPLICANT'S SIGNATURE: �.z DATE: � � I'S � �I <br /> (Please fill out the reverse side of this form) <br />