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CZTY OF ORONO - BIIILDING PERMIT APPLICATION <br /> .�' � f Date Received: <br /> Total Fee: $,� <.��� � % - <br /> " Date Apgroved: <br /> r . <br /> Entered By: permit�: � ��� <br /> AT,T• ZNFORMATION MIIST B$ Si7BMITTED IN FUZ.L BBF�RS p�N ��Z� ��_B$_STARTED__ <br /> ------------------- <br /> THE AppI,ICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ? � � 'S^ C- 1"k~5 �� l �� Y �� ZIP: : . <br /> � °"M,� <br /> (work) _ <br /> , � PHONE: (home ) ` .-� :.1' <br /> NAME OF OWNBR: <br /> � . <br /> /. ey' CI�Y: ZIP_ <br /> MAILING ADDRESS: � ` <br /> I U� (l(E'�' i PfiONE: �y�.�- .��� <br /> CONTRACTOR: ��� / � d.� � <br /> y� �-t- <br /> MAILING ADDRESS: �7 � /��� �t�'`�'� CITY: /�� q y� ✓ Z IP:���.��� <br /> TYPE OF v�?ORK- New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROP�SED WOR� (describe in detail) : <br /> STORIES: SQ- FEET OF EACH FIAOR: <br /> N�. OF B�DRO02S.S: G�R.AG$ STAI�I.S: ATT. DET. <br /> EST�TED C�NSTRIICTION VAI,IIATTON (exclnding land) : $�_t�� � � <br /> I hereby apply for a building permit and I acknowledge that the informat <br /> above is complete and accurate; that the work will be in conformance wi�h� <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a Fermit and work is not to start without a germit; : <br /> that the work will be in accordance with the approved plan. <br /> APPLICAIqT'S SIG�IATII�: DAZ'�i: <br /> (Please fill out the reverse side of this form) <br /> 4 <br />