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' , � CITY OF ORONO - BDILDING PERMIT APPLZCATION <br /> , <br /> Tota'1 Fee : $ ��,�� G Date Received: � � �.�� - ��_� <br /> Date Approved: / 'j � ��/ <br /> Entered By: n <br /> Permit#: ��3 � <br /> ALI, INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVI�W WILL BE STARTED <br /> (See Check-off List Enclosed ) <br /> ----------------------------------------------..,�,�,�-------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER or� CONTRACTOR `° <br /> � �, �-1 �"� � ` �--� � <br /> JOB SITE ADDRESS: � ���: �;� �f � � �. I r�l���� ZIP: �;__ --,-._'�,�. <br /> ��r L- � <br /> (work) <br /> � �� , <br /> NAI� OF OWNER: �-�.-«-��C'� ;�����_���'�t , PHONE: (home)%�i�' -��-�-�� <br /> ,� _ .. <br /> � <br /> MAILING ADDRESS: �' _l`�' ��� ��� ���, � ��-� CITY: ;. ,_ �;��� `,r�� � ZIP: � `��J �- <br /> �_� %i / -� - <br /> �� , — � .(� <br /> , <br /> CONTRACTOR: �1: ,,�' �� � ' / �/rt,,( �HONE: �� -�.�;j,� <br /> 5 ��iJ�z-t�,l " i l�� //?�/�'�J L$?� � A�� � � / o <br /> __ �' �7 .� �� �. <br /> "MAILING ADDRESS : �_ �j � t-' ' - _ .��` � CITY: �', ' % e �Z ZIP: S _5,��� <br /> � <br /> ��,�, <br /> TYPE OF WORR: New Addition�_ Accessory Structure Move <br /> Demo Remode�/Alteration Renovate Land Alteration <br /> � � <br /> PROPOSED WORR (describe in detail) : ��� ,� , � �.,�'_ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALZS: ATT. D�T. <br /> ESTIIKATED CONSTRIICTION VALIIATION (egcluding land) : $ �� � C C" , G� (. <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 /> APPLIC�NT'S SIGNATORE: �'' ;,� .� � ��, �. /l� {�Ct��.���2tv�� DATE: % � � `� <br /> � <br />