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' ' CITY OF ORONO - BIIII�DING PERMIT APPI,ICATION <br /> �otal Fee ; S �-� � 3 ff S �7ate Received: � �Z�"�� <br /> T�1� ?������_7 " ���_ � � <br /> LdI.0 tiUiJtUVCCS: <br /> �ntered By:� Permit#: <br /> �j:� � <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FITI�L BEFORE PLAN REVIB'W WILI� BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------- -------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNE or CONTRACTOR <br /> �os sz� Annx�ss: ���5 ���1+� LA�1� zzP: <br /> (work) <br /> ru�r� oF owxER: � �'.�t c e 1<a K,11� PHor�: (home) �}-7 3--Z�5`�, <br /> MAILING ADDRESS: 2�.(cS �EJ i�� �.AN�E CITY: C�r`c>���� ZIP: <br /> c.o��T���cnrtil a-��,�Ac�c-�Z <br /> � 1� A�E ���So� PHONE: `� Z_S- � 7��] C��y� <br /> MAILING ADDRESS : �}C��S7 C�`:.��/�'-/�� �I S CITY: �� LOL��S Ps4.�<< ZIP: j��-/� <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �I 1`1 I S H � � � 5 T�'N G- S✓'A C� <br /> IN ��1S�1E�T <br /> STORIES: � SQ. FEET OF EACH FI�OOR: I ZCL� <br /> �TO. OF BEDROOMS: �' GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALIIATION (ezcluding land) : $ � � `�r�� _ <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 permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> �/: <br /> �-L�-E'�ti��, � 7 <br /> APPLICANT'S SIGNATORE: � �� DATE: I �- — j ( <br /> �o� <br />