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� ' CITY OF ORONO - BQIi�DING PERMIT APPI,ICATION <br /> � E i <br /> Tota1 Fee • $ ��-S� �ate xeceived: <br /> �ii���J A f T�L�' 1�������� " <br /> iJdi.G nuuiiUVcu: <br /> �ntered By: �'� <br /> Permit�: `�d� �o <br /> A�.r. II+]PORMATION MIIST BE SIIBMITTED IN FIILL BEFORE P�AN REVIgW WII,L BS STARTED <br /> (See Check-off List Enclosed)� <br /> --------------------------------->"-`_---------------------------------------- <br /> � APPLIGANT IS: (circle one) � OWNER�or CONTRACTOR <br /> Jos siTs AnnxEss: /��0 �f�/��c.� �r� /2c� ziP: ��3 a �o <br /> (work) <br /> _ <br /> r� oF owrr�: o .� /�e�, L, psoxE: (home) � 7 3 6,�� 7 <br /> .'3AILING ADDRESS: /O�6 [Y�i6�l .�/lGcl't.d✓ �.c:� CI : � ZIP: 5���� <br /> CONTRACTOR: C�C�1��V� PHONE: �.CZ,`Ytti.L� <br /> MAILING ADDRESS: �E>�-`�s�_ CITY: Z IP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remod�/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : c�.�� c � ��-�- - �- <br /> �I�L - ��-, <br /> STORZES:�_ SQ. FEET OF EACH FLOOR: <br /> NQ. OF BBDROOMS:. GARAGE STALLS: ATT.� DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ /SG� ' <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 />�rdinances 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 SIGNATQRE: �����'� DATE: /D - �`��I/ <br />