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, ' CITY OF ORONO - BIIILDING PERIKIT APPLICATION <br /> Total Fee: $ ���' � t • Date Received: 7 -�/U� yl� <br /> Date Approved: <br /> Entered By: ��'' <br /> Permit#: fU�y <br /> ALL INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br />' ----------------------------------- ------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER r CONTRACTOR <br /> / �`f�v ,/ J �,_ ,�-- � �. <br /> JOB SITE ADDRESS: /���U7�-�'�-Q ��C� t1� `�"z%L��'�� ,�( i ZIP: � -� -� �� <br /> (work) <br /> �� .�Jr <br /> NAME OF OWNER: , � C c. PHONE: (h ome) t/7/- ��%d <br /> MAILING ADDRESS: �.t �[ S �-�/�/'GJ �'�' �C CITY: �� %Z-�I'�'`'`4 ZIP:->> 3 l/ <br /> t.c/' �- "`� ' - <br /> / ` <br /> CONTRACTOR: /Cl � PHONE: '���/�-� �'� <br /> MAILING ADDRESS: ` CITY: �- ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration_�� <br /> PROPOSED WORR (describe in detail) :�� /��L ' ���=`-�/ 1 <br /> r � p fl�r� <br /> � <br /> c;,�L `� � -��.W� J / G'� �� L-%���'` <br /> �: . <br /> �p�c.�v�7'�e 6n'/� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (exclnding land) : $����Z��e��,� <br /> I hereby apply for a building permit and I acknowledge that the informata <br /> above is complete and accurate; that the work will be in conformance with '� <br /> ordinances and codes of the City and with the State Building Code; tha°: <br /> understand this is not a Fermit and work is not to start without a permit; � <br /> that the work will be in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATIIRE: � � " ��� DATE: `� -`�� _ <br /> _. _ _ _ _- ___ . <br /> - (Please fill out the reverse side of this form) _ <br />