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' � CITY OF ORONO - BQILDING PERMIT APPLICATION <br /> Total Fee• $ ��U� �' Date Received: ' ' � <br /> Date Approved: <br /> Entered By: �'�� „ <br /> Permit#: � ,��� <br /> gr.T. INFORMATION MIIST BE SIIBMITTED IN FiJLI. BEF'�1tE PLAN REVIgF] WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------------------------------------- <br /> THE APPLIGANT IS: (circle one ) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: �7�� .G�c�2i�/ ��2.c.iJ/�:: !(D�� ZIP: � �%/ <br /> (work) <br /> NAME OF OWNER: f'��/L r�,�'� f/�CG:/11� ��"�?•CG"n-^ PHONE: (home) ��� . �r��� <br /> MAILING ADDRESS: �7�jS �''iY2:/7/ ���N'�'�C� CITY: �20,Uca ZIP: �3 i/ <br /> CONTRACTOR: ,�rl1�3E�'L 0�t.�=� ����i7� _ PHONE: �3�- �l-�� <br /> :KAILING ADDRESS : � �• /J()X S� CITY: ���/�-i'�=I ZIP� S�-�'i/ <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration 1� <br /> PROPOSED WORR (describe in detail) : ���n�/l�"'� �/Z/����( a� ��� <br /> /J ii i.�'dc.?S �!d/1��-C <br /> STORIES:___1� SQ. FEET OF EACH FI,OOR: /��,� <br /> NO. OF B$DROOMS: a�/� GARAGE STAI.LS: ATT. DET. <br /> �:. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ ������ <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 /> ' SIGNATQRE: GU ��l G� ,GYL DATE: /�j �C-�� �7�D <br /> APpI,ICANT S <br />