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1 ''• CITY OF ORONO - BDILDING PSRMIT APPLICATION <br /> Tota'1. Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FOLL BEFORE PLAN REVI�nI ieTIIS. B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITS ADDR$SS: / 130 �.... o �A- �trJAA ��C. � a � �D� N�. ZIP: �5 3 � � <br /> (work) <br /> NAI� OF OWNER: � ►''l. � . l� o C 1<<"� R ►� ►�1 PHONS: (home) `+� a- � a 7 3 <br /> MAILING ADDRESS: 1 l 3 0 �.o �-t�( -c-� nl D A A J c . CITY: K o �1 tS D o�n� _ ZIP: � � 3 b `�' <br /> CONTRACTOR: S � �--- C- . PHONE: <br /> �MAILING ADDRESS: CITY: ZIP: <br /> TYP$ OF WORR: New Addition Accessory Structure Move <br /> Demo Remo�e�/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : R � - R e o �= -� � � �� 1 � G <br /> � Qo� E � D 1� 2cS-S. <br /> STORIES: o a � SQ. FEET OF EACH FLOOR: � `� '� o <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. , <br /> BSTIMAT$D CONSTRDCTION VALIIATION (escluding land) : $ I o o. o <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 /> � <br /> APPLICANT'S SIGNAZ'ORE: �-,.-.. � �- ���"�~-�-"'�"`— DATE: C� -� ] - `�/ <br />