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� � CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ � �y� ��� Date Received: <br /> I Date Approved: r� '�� " � �-� <br /> Entered By: �� .� �� �� <br /> Permit#: <br /> ALI� INFORMATION MIIST BE SIIBMITTED IN FiTLL BEFORE P7�AN REVIgW i�IILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �GL�= �Cc�rYlf} � i.L'hA �;' ZIP: ���� 3(�`� <br /> (work) f33 `ryS'c� <br /> NAME OF OWNER: /Q�6 c�rT F_ l`(iQ�d�+�✓z PHONE: (home ) b'f/ -�`f i3 <br /> MAILING ADDRESS: ,�lc����' ���'S K�v�R �/a.t/=CITY: g�oo•rl�•✓�i %�'�✓ ZIP: .SS`�.� 'I <br /> - C��. �- <br /> CONTRACTOR: ��/s�_� r 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) : 1Qt i�u � Lc/ b�crC�- c'�t�/ D E c/�' rt,�flf-� R�i��n-,(� <br /> ,4�/n �f ER � �r ti1:�� r � — Gti'��?l�� /�,�5 8C�,✓ D� •✓� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. QF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> BSTIMATED CONSTRDCTION VALUATION (ezcludinq land) : $ ;���L�t'. f�a <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 SIGNATORE: �...._ - `� DATE: `��7���' <br /> _ f� ..� �:;: `y ,,; <br /> . <br /> >°i �t.,-..u� `�-.;..-r?r rs._.-, <br />