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► <br /> CITY OF ORONO - BIIILDING PERMIT APPI�ICATION <br /> `�ota1 ��ee • $ (�,� �j5 uate xeceived: ,;2�3� �9� <br /> T�L- 1_��____ _l _ <br /> Ud l.0 tiLiUi U V-L'Cl: �,�. ,?�� /�� <br /> Lntered By: �'��' <br /> Permit#: "� /I� <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIgW WILI, B$ STARTED <br /> (See Check-off List Enclosed ) <br /> -------------------------------------------------------------------------------- <br /> THE APPLIGANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITS ADDRESS:�-� �C` � �`� "� ZIP: -� R� -3 �� <br /> (work) � � <br /> .� /���1 <br /> NAME OF OWNER: PHONE: (home) / ��' `��� l' <br /> MAILING ADDRESS:-.���� l.'� `', -,-`�''`'�-�r�l�� CITY: �/��1�� �:-:. ZIP���� -� � <br /> CONTRACTOR: �� `1✓ �'���%�u-c/�~-- PHONE: �/� /�� � <br /> MAILING ADDRESS: �J �'� �( � � � CITY:' � � ;/�'��� ZIP:�-�� � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> � <br /> �� � i-�y�,,-a-- �-r-`�� !✓� < <br /> PROPOSED WORR (describe in detail) : V . <br /> . ��'�%'L'-�-,-�J-- .l� �!1-- . D"l <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: <br /> �IO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> Y �.7 L� L' �w <br /> ESTIMATED CONSTRDCTION VALIIATION (egcluding 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 /> 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 /> Q� � <br /> APrL <br /> ICANT'S S IGNATURE:`� ���'"� �' -'������ DATE: � ���l � <br />