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ii�9 _ l�, . <br /> CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ / 3 oZU Date Received: <br /> Date Approved: <br /> Entered By: • 2 � <br /> Permit#: ) � � <br /> ALL INFORMATION MDST BE SUBMITTED IN FQLL BSFORE PLAN REVIEW WILL BE STARTED <br />------------------------------------- ------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: �--��� K���� � ���' ' ZIP= <br /> Ss33 � <br /> (work) �'��r� � �3 <br /> N1�ME OF OWNER: ��F� '�/1�'r r�'-'j� �'� ' J PHONE: (home) �J l - ��I$,j <br /> MAILING ADDRESS: L� �� ��Cy ���s ' CITY: ��C<,��_S��Q� ZIP: -�.�33 j <br /> CONTRACTOR: S��-� 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) : �� M �'`��� ������r'', <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: <br /> �,/o�p <br /> NO. OF BEDROOMS: y GARAGE STALLS: ATT. � DET. <br /> ,�.; / ��U o� <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding 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 �ermit and work is not to start without a permit; and <br /> that the work will be in accordance with the agproved plan. <br /> , , ��.� � �- ��Z / <br /> APPLICANT S SIGNATIIRE. DATE: � / <br /> (Please fill ou the reverse side of this form) <br />