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CITY OF ORONO - BIIII,DING PERMIT APPLICATION - <br /> , ►s <br /> Total Fee: $ � Date Received• <br /> Date Approved: a <br /> Entered By: <br /> Permit#: <br /> AT•T• INFORMATION IKDST BE SIIBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> ----------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR,,` <br /> JOB SITE ADDRESS: ����/ ���;o� ��-� ZIP: �� ����� <br /> (work) <br /> NAME OF OWNER: /!�'� �'�>t� ''7��'�YJ� PHONE: (home) ���� ��� <br /> MAILING ADDRESS: a��f� Yc.�,�;/� CITY: �,.�'�Sf� ZIP: �J�.,S'�Y/ <br /> CONTRACTOR: �t��d� ��� �'� �{�' � ��� �-� PHONE: ��� ���=x= <br /> MAILING ADDRESS: �7-5�-� ��"�+C�- /,��� CITY: /�'%f� ZIP: -�+T✓'yJ <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate� Land Alteration <br /> F <br /> PROPOSED WORR (describe in detail) : �N-'��- / �'�"C�l� 1 '� � <br /> . i `� � <br /> ' ,�'' t v .(}?`�,� .� /.t,G' � "�/�C(/`+�'-ic.'� tJ��f'i�4.� <br /> ' �— <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: �� GARAG$ STALLS: ATT. DET. ✓� <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ <br /> ����/�� <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 Fermit; and <br /> that the work will be in ordance with aF�roved plan. <br /> ��� � <br /> . � <br /> ���" . , <br /> APPLICANT'S SIGNATORE: DATE: � S 4` <br /> tPlease fill out the reverse side of this form) <br />