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CITY OF ORONO - BDILDING PERMIT APPLICATION <br /> i ' � <br /> Total Fee: $ Date Received; <br /> j Date Approved: <br /> ; Entered .By: <br /> Permit#: --� ��' / <br /> ; <br /> ; <br /> ALL INFORMATION 1KDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR � <br /> JOB SITE ADDRESS: � <br /> -S ya � ,L � C�G�e � Z I P: <br /> (work) <br /> � <br /> NAME OF OWNER: -r-i,� is ,n_ ��c-�e v PHONE: (h ome) ����-5��7 <br /> c , o.i z�t r/ � CITY: ��r.,c ��,�e ZIP: i�S S'�� <br /> MAILING ADDRESS: /L O/ � L� � / �{ <br /> � <br /> CONTRACTOR: 'o S.,o � � o�, ,�-- � ,L�c �� �ors � PHONE: y7/ - j/��/ <br /> r <br /> MAILING ADDRESS: s�� ��-_� a .� i,, Sz CITY: /�c-�v��� ZIP: �S� y <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : .� � � c�o <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALDATION (excluding land) : $ �/�� � <br /> I hereby apply for a building permit and I acknowledge that the informatio <br /> above is complete and accurate; that the work will be in conformance with tr <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 �ermit; an <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATQRE: --4�j - r'= <br /> DATE: 3 -� / <br /> (Pleas fill out the reverse side of this form) <br />