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�` ' CITY OF ORONO - BDILDING PERMIT APPLICATION <br />� Total Fee: $ i:-,�(t�,l v� � D '� � �� <br /> Date Received: <br /> , <br /> Date Approved: C�- I(�-� (J <br /> �� i�,� <br /> Entered By: -'� ,_ <br /> Permit#: >,�= ' <br /> AT•T. INFORMATION MIIST BE SIIBMITTED IN FIILI. BEFORE PLAN REVIBW i�iILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER r CONTRACTOR <br /> JOB SITE ADDRSSS: �� �'Jr �a� �,����� �O� ZIP: S� 310 i <br /> (work) _' a. <br /> , Q_Y � -�►/�' � � PHONE: (home) '�J <br /> NAME OF OWNER: � 0 h Yl 4 1r1 D t� t � r' Yl <br /> MAII,ING ADDRESS: �� �'J -tt�c�. Y} �Oo C� �� f CITY: � 0 (.c Yl CY ZIP: "r� `�j 3�,T <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORR: New�_ Addition � Accessory Structure� Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �.� �p� -- G A2r���, , Qc�K. <br /> � ' <br /> �(Vli4 S'f�� �,��ow�_ A�J�'T-t o nJ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOIrl.S: GARAGE STALLS: ATT. DET.� <br />$STIMATED CONSTRDCTION VALIIATION (ezcluding land) : $ �(� ;�O� <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 /> t'�,PPLICANT'S SIGNATQRE: DATE: O � <br /> (Pleas fil out the reverse side of this form) <br />