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CITY OF ORONO - BDILDING PERMIT APPLICATION <br /> Total Fee : $ /.����� i 5�� Date Received: �-7 � %� <br /> Date Approved: <br /> Entered By: ����' <br /> Permit#: � / �� <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVILW i�TILL B$ STARTED <br /> (See Check-off List Enclosed ) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR <br /> JOB SITS ADDRESS: ���� `' C�; `'j�j�d`� ZIP: <br /> (work) <br /> NAME OF OWNER: �-�C�Hd�n� S��=� %�-i �G- PHONE: (h ome) �y,..�-� ��,7�U� <br /> � 7 <br /> MAILING ADDRESS: ,Qy6C>- �i�f TS� t� -fy /��-7 CITY:,�� : �`. ZIP: <br /> CONTRACTOR: /`� �� S��/�'�iy7P�^ ClO�j s'! .:_1 cz C' PHONE: �r���--� c��)�� <br /> MAILING ADDRESS: ��Qa'-- �(���i Q✓`r' �'O CITY: �� �� ZIP: �'` � <br /> z <br /> t �,� YYS <br /> TYPE OF WORK: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> / <br /> PROPOSED WORR (describe in detail) : �j (J�J (��n�"� z. I <br /> STORIES: �_ _��_ SQ. FEET OF EACH FLOOR: �� �-� _ <br /> T� <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATT.� DET. <br /> �� <br /> ESTIMATED CONSTROCTION VALIIATION (ezcluding land) : $ S �' ���� <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 /> r -, <br /> APPI.ICANT'S SIGNATQRE: `� f � ��✓���9 DATE: �—C� ' �� <br /> `�� <br /> i � <br />