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CITY OF ORONO - BIIILDING PERI�IIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTEI3 <br /> -----------------------------------�_.�-----------------------------------� <br /> THE APPLICANT IS: (circle one) ER or CONTRACTOR <br /> . <br /> JOB SITE ADDRESS: � T� /� l� / S�/1� � �z � ZIP: �� `� � � <br /> (work)3.3/�� J^U <br /> NAME OF OWNER: �l ,l�'/j�\ � ���x�''' � ! / PHONE: (home) �7�7�� <br /> MAILING ADDRESS: •� �S� `�( '� �"`�S�1Gw /�`;CITY: ��4�Z���'f ZIP: s��� � . <br /> —T <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 U o !�-�' �' � ''t�� r , <br /> . <br /> �`'r-��i��� ��, "'"``��- <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAG$ STALLS: ATT. DET� <br /> ESTIMATED CONSTRIICTION VALIIATION (exclnding land) : $ � � G � <br /> I hereby app ly for a bui lding 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 permit and work is not to start without a permit; <br /> that the work will be in accordance with the approved plan. <br /> / � � � �� �or�� <br /> APPLICANT'S SIGNATQRE: (�'`' �'� DATS:� <br /> � _ (Please fill out the reverse side of this form) � _ � <br />