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CITY OF ORONO - Br�LDING PERIKIT "APPLICATION <br /> l�R. <br /> Total Fee: $ / �e S�� y Date Received• <br /> � � D�te Approved: <br /> Entered By: � <br /> Permit#: , �j�� � <br /> ALL INFORMATION IKIIST BS SIIBMITTED IN FQLL Bffi?ORE PLAN REVIEW WII,L BE STARTED <br /> ------------------------------- ti----------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: <br /> 7� �e�l �.! � zip: s�--33 l <br /> (work) <br /> NAME OF OWNER: �JO � ZA- PHONE: (home Lg 7�- �t S Z <br /> MAILING ADDRESS: S-O l�e�l� CITY: ��(G�fs/0 r ZIP: SS.� r <br /> CONTRACTOR: ,C�OJ(.7� l'jU�v►C�r � PHONE: <br /> _, <br /> MAILING ADDRESS: CITY: ZIP: <br /> 'RPE OF WORIC: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : /`1�� -- /^c�c�� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOIrIS: GARAG$ STALLS: ATT. DET. <br /> ESTIMAT$D CONSTRDCTION VAI.IIATION (eacluding land) : $ �-�d� <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 Fermit and work is not to start without a permit; and <br /> that the work will be in accordance with the aF�roved plan. <br /> APPLICANT'S SIGNATORE: DATE: �`�l�` �r <br /> lPlease ' 1 out the re se side of this form) <br />