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� <br /> , ^ <br /> � , CITY OF ORONO - BIIILDING PERIKIT APPLICATION <br /> Total Fee: $ � � Date Received: <br /> Date Approved: <br /> ' Entered .By: <br /> Permit#: <br /> ALL INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> ---------------------------------------------�_------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or ONTRACTO� <br /> JOB SITE ADDRESS: ,� L-1� � C, �, �� Sl� � P�{"1-C �' ZIP: <br /> (work) <br /> NAME OF OWNER: S�E, P � l� N 1 {� � ��7 P � P 1� PHONE: (h ome)��� L�,�.�� <br /> MAILING ADDRESS:,��I � � � 6��/S I/� � P I f��� CITY: /U✓�- U�;��I�`� ZIP: <br /> �� <br /> CONTRACTOR: t� I I�v � d� �F " PHONE: � �d�^S L ��� <br /> MAILING ADDRESS: �-�4� ��C�, rL� ,�G�U� Q�✓< CITY: �yl UJ��-� ZIP: ��> � l( <br /> TYPE OF WORR: New Addition Accessor Structure Move <br /> Demo Remodel/Alteration Renovate� Land Alteration <br /> PROPOSED WORR (describe in detail) : T� � r` d� � O �� I\�y G� <br /> `I �' � �vT � l�J . �. �C L v (� O� S �'L I ("J )( e f • <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOIKS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALDATION (excluding land) : $ <br /> I hereby apply for a building permit and I ackr.owledge that the informaL_. <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 �ermit and work is not to start without a permit; 4 � <br /> that the work will be in accordance with the approved plan. <br /> , <br /> APPLICANT'S SIGNATIIRE: ��` DATE: L��l � -� �� <br /> (Please fill out the reverse side of this form) <br />