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, CITY OF ORONO - BQILDING PERMIT APPLICATION <br /> G /� U <br /> To�tal Fee : $ � D ��� Date Received: (.!�� � �_� <br /> Date Approved: �)- I a-�j v <br /> Entered By: � <br /> Permit#: � Sc� <br /> T•T• INFORMATION MDST BE SIIBMITTED IN FLTLL BEFORE PLAN REVIgW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNE r CONTRACTOR <br /> JOB SITE ADDRESS: 1 �,-�j �K� (J l�'� ��. ZIP: ��j �j9 I <br /> (work) <br /> NA1KL OF OWNER:� I �p y'�[�� PHONE: (home )/�-, 1�(�1n�,5 <br /> MAILING ADDRESS: 1 �O J �K-e,C.,� lP� �^��Y: ZIP: �J� �� <br /> CONTRACTOR: 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) : .�-�-�� �C' g i ��pc� ���� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BBDROO1ri.S: �ARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRDCTION VALIIATION (egcluding land) : $ �QD � <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: - DATE: �'`p�I� -I O <br />