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� CITY OF ORONO - BIIILDING PERl�IIT APPLICATION <br /> � / J Date Received• j� '���/ <br /> Total Fee: $ �7��.�/ <br /> Date Approved: ����-� � � <br /> Entered By: - "� <br /> Permit#: � U <br /> AT•T• INFORMATION MDST B$ SIIBMITTED IN FDLL BLFORS PLAN REVIEW WILL BE STARTED <br /> ------------- <br /> THE APPLICANT IS: (circle one) OWNER or CTOR <br /> JOB SITE ADDRESS:r�"� � � w � ZIP: <br /> (work) <br /> . '/7 <br /> N1�ME OF OWNER: PHONE: (h ome)?/f'� � <br /> MAILING ADDRESS:�oZ- � r ITY: ' ZIP: <br /> �7-�� ��3 �'. <br /> CONTRACTOR• � ` PH� � �7 Z Z <br /> MAILING ADDRESS CITY. � ZIP�S� O <br /> . , D 3� Z <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : , '' <br /> . <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAG$ STALLS: ATT. DET. <br /> � � <br /> ESTIMATSD CONSTRIICTION VALIIATION (excludinq land) : $ <br /> �s'o v � <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 SIGNAT�RE: DATE: � <br /> (Please fill out the reverse side of this form) <br />