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CITY OF ORONO - BOILDING PERMIT APPLICATION <br /> Total Fee: $ / �� 3 � ,�� Date Received: <br /> Q � Date Approved: <br /> Entered By: ��U <br /> Permit#: ��? � <br /> ALL INFORMATION MOST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> ----------------------------------------------------------------------------_ <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: �/ U � 1/1//��/1;/��y ZIP: <br /> (work) <br /> NAME OF OWNER: �U��� � ''����! ��fi�� ' (.���1�L 2-1� PHONE: (h ome) <br /> � � .5���� <br /> MAILING ADDRESS: 1'`�� � /'' /%�/,�,�;,� CITY: ZIP: <br /> CONTRACTOR: ��/ L U CG'�,����1�����I �,��!'�� . PHONE: �������;?. <br /> MAILING ADDRESS: ,����� ��,�i���� ��" CITY: ��/�� . ZIP: - ��,Z <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �Z�,�r� i- <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VAI�IIATION (exclnding land) : $����) �- <br /> I hereby apply for a building permit and I acknowledge that the informat_ <br /> above is complete and accurate; that the work will be in conformance with � <br /> ordinances and codes of the City and with the State Building Code; tha <br /> understand this is not a �ermit and work is not to start without a permit; <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATQRE: � 4� �� .. DAT$: � _ <br /> ` (Please fill t the reverse side of this form) <br /> , , _ <br />