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. <br /> , � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> iotal Fee• $ ����a�' Date Received: ���'<"�%�� <br /> Date Appr�ved: >/�,�� i�� <br /> Entered By: �,/� , / �j � <br /> � Permit#: � 7' �Z_ <br /> � <br /> AT•T, INF'ORMATION MIIST B$ SIIBMITTED IN FIILL BSFORE PLAN REVIEW WILL BE STARTED <br /> -------------------------------------------------=-s�-------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRACTOR � <br /> JOB SITE ADDRESS: /7/� /L�� � F;� �,���.�. j�1� I<� ZIP: <br /> (work) <br /> N1�ME OF OWNER: L��; c�-�r� ��v i�/�n�c PHONE: (home) <br /> MAII,ING ADDRESS: / 7/i �s� ��N��.=" ��� ��� CITY: ZIP: <br /> // �-� �� ,--- / ?- <br /> CONTRACTOR: /�n'i'�`l� ��/v r-,� f:n�� ';,�r � X 7�+�I'/c'�('�: �� PHONE: 1/�/` i%,�.L�_ <br /> MAILING ADDRESS: ���c:' /V �l�.��r � Kc� CITY: ��c�,l� c� ZIP: �'��i��-� <br /> 'I'YPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ���r��� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOIriS: GA�t1�GE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALUATION (excluding land) : $ /�C'��`' "—r <br /> I hereby app ly for a bui lding 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 Fermit and work is not to start without a Fermit; and <br /> that the work will be in accordance with the aFFroved plan. <br /> � <br /> � � <br /> _� <br /> APPLICANT'S SIGNATURE: ''� � _ -�—_ DATE: i'- �n ^��� <br /> (Please fill out the reverse side of this form) <br />