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� �� �{,�iQo <br /> CITY OF ORONO - BDILDING PERMIT APPLICATION <br /> Total Fee : $ ��L� Date Received: <br /> � <br /> Date Approved: ����Qj) <br /> Entered By: �� <br /> Permit#: _��rj`� <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FOLL BEFORE PLAN REVIEW i�TILL� S3A�T� <br /> (See Check-off List Enclosed) <br /> - - - � - - - <br /> ------------------------------------- ----------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER r CONTRACTOR <br /> JOB SITE ADDRESS: y ''f �-{ � � v�Y`St'�� �:>�1 �� �.'� ZIP: � � ���' � <br /> (work) /'v'�6'�� <br /> x� oF owN�x: T}�l� �/�1�r#r�, rHor�: (home) �' �7� - ?4 7 i <br /> 1�3[iIL11VG FiLLt(�.SS: �3��y � C`W�S�ta� �ut� /�� �zTx: j�J���;�� za�: �� �3� 1 <br /> CONTRACTOR: PHONE: <br /> HAILING ADDRESS : CITY: ZIP: <br /> TYP$ OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Al.teration� Renovate Land Alteration <br /> (L. P,ou�t� <br /> PROPOSED WORR (describe in detail) : ���«,.r,� �,���is5z; ;•1�tai1 (�eo�c✓1 � i� S�rlr.�'�'� <br /> � <br /> �� 11 � ��v� Z C'��I;�� ;ri��all FN✓���it'e /�-I��- �;,.�c+Rl' �� t-� � � S �'� � : �ec..l.'�'e, � . %?r��r:�_ <br /> - - � <br /> ��,�t��~1-f'��� l.�l�ll �. rr�,�/�;/�� �r���+t Led�rC��'r,�a°,/y �aj l 'r�;nl� 1n1+:�'ld"�S <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: � � �, _ <br /> IU'J tU t'_ <br /> NO. OF BBDROOMS: � GARAGE STALLS: <br /> ESTIMATED CONSTRQCTION 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 /> �rdinances 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 /> �hat the work will be in accordance with the approved plan. <br /> a� :� , <br /> - � , ;. , <br /> ; � <br /> ?�PPLICANT'S SIGNATQRE: �:�-� ��'��"%� ' ` DATE: 1/ {'c;E;/�f� <br /> _..�—� <br /> � <br /> I i <br />