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, CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ (�� ,��, �6 Date Received: <br /> Date Approved: <br /> Entered By: �� <br /> � Permit#: ��� � <br /> �T•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN RF.VIgW WI7�I, B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one ) OWNER o CONTRACTOR <br /> JOB S ITE ADDRESS: �2 � ����.Q f�-.� [Z-p f�� �• Z IP: <br /> (work) <br /> �iAML OF OWNER: ��C3��j �l�'�f`�G`� "'�}�"a-�, �� PHONE: (home) <br /> :�lAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �OIJ�� ���I������{ PHONE: � 3 O ��3 � <br /> NIAILING ADDRESS :�j32�' C��-'V1�1n1 CITY:� )eu�b^�� ZIP: ��3 � � <br /> TYPE OF WORR: New Addition � Accessory Structure Move <br /> Demo Remodel/Alteration �Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �Q D i��� �..D �-7�-. a� b� '^�C,�""-- _ <br /> ��--�s`�1�►,t�'-" r� I Y>��'�5��'_ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTROCTION VALIIATION (ezcluding land) : $ �-,j, �� ' Oa <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 /> APPLICANT'S SIGNATQRE: --`�— ` DATE: �� -G r7 Z 0�L� 1 I <br /> i <br /> � <br /> � <br />