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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> , <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered .By: <br /> Permit#: <br /> ALL INFORMATION MUST BE SOBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> ------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: . �� y� � y ,�j n� � ��� ZIP: �s... `� J � <br /> (work) <br /> NAME OF OWNER: lJ�A N j( �J �- � �� PHONE: (h ome)`f�J3- 7`�S � <br /> MAILING ADDRESS�`�$ C�yc �,�� F' L CITY: L�r�, L��.� ZIP: S5 3 5 G <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration '� Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : <br /> ��'� l�/ 1 N D o�.,� A d � t g g,�J - �,� �J p � „`� <br /> i T� v ►� ��--� <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTROCTION VALDATION (excluding land) : $ <br /> I hereby apply for a building permit and I acknowledge that the informatic <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; an <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATIJRE: ,�� _. ���1� DATE:�Q �u,C�f 1 6 <br /> (Please ill out the reverse side of this form) <br />