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CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ ��j, �� Date Received: <br /> Date Approved: <br /> Entered By: . <br /> Permit#: '� ' <br /> ALL INFORMATION MIIST BE SIIBMITTED IN F'OLL BEFORE PLAN REVI�W i�iII,L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITB ADDRESS: �J�S Li K G� t � � !� C ZIP: �`S3 �/ <br /> (work) L/�9�7�6'.6 <br /> NAI� OF OWNl3R: �� G � ��� PHOPE: (home) �/ 7 3�7�J� <br /> MAILING ADDRESS: �S rj � j !� G� P � CITY: �-�O`" ZIP: � <br /> LONTRACTOR: i���'/ G���� ,� `d ��`PY� PHONE: <br /> MAILING ADDRESS: �- CITY: '�` ZIP: �— <br /> TYP$ OF WORR: New Addition Accessory Structure Move <br /> Demo Remo�e�/Alteration#_ Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �Loo� � �C ��%��-� <br /> � <br /> ,t'.i Gt'G'%��--. <br /> STORZES: SQ. FEF.T OF EACH FI,OOR: / -S -3 <br /> NO. OF BEDROO1rLS: GE STALLS: ATT. � DET. -� <br /> DO <br /> ESTIMATED CONSTRIICTION VALIIATION (escludinq 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 /> �rdinances and codes of the City and with the State Building Code; that I <br /> inderstand this is not a permit and work is not to start without a permit; and <br /> �hat the work wil 1 be in accordance with the approved p n. <br /> APPI�ICANT'S SIGNAZ'ORE: ��� DATS: � d �/ <br />