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CITY OF ORONO - BDILDING PERMIT APPLICATION <br /> I"otal Fee: $ '� � �'�� �G' b Date Received: �%� " � �--- -=3_' <br /> , Date Approved: <br /> Entered By: .�,U`' <br /> Permit# : 3 3�i <br /> ALL INFORMATION MUST BE SIIBMI'iTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------- - ------=�--------------------------------- <br /> T� APPZICANT IS: (circle one ) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ZIP= <br /> (work) �y�-�5��"� <br /> NA1KE OF OWNER: I r l 1` Q��J`S �p,ci,� ��� PHONE: (home) <br /> MAILING ADDRESS: I�.J� � �t/S� �d Ui,�I�..c ITY: �, ZIP: .�j�/�� <br /> �S T��r <br /> ��o�� ���� �/ � <br /> CONTRACTOR: ;��i(1 e{r I�6 P D �' � ►�'ti�i 1'1 . ,�L� PHONE: �/ 7 -3 J s 7 �`S <br /> MAILING ADDRESS : 3cl1/U S� Ntc,-w/G � CITY: (�I�CU./���f�- ZIP: 55 3 �l <br /> TYPE OF WORR: New � Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : f" ��/` S � � , <br /> STORIES: � SQ. FEET OF EACH FLOOR: I�•'� ��SS� �C �� <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATT.� DET. <br /> � � <br /> ESTIMATED CONSTRUCTION VALIIATION (ezcluding land) : $ � �l� �a � <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 SIGNATORE: I��� �.U�, DATE: �� � l (� <br />