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� CITY OF ORONO - BQILDING PSRMIT APPLICATION <br /> ,T�ta1 Fee: $ �% �5�� � 3� Date Received: � <br /> Date Approved: <br /> �ntered By: �9.�ti-� n � <br /> Permit#: �`� � <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FTJLL BEFORE PLAN REVIB�'W WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------�----------------------------------------- <br /> Z'HL APPLICANT IS: (circle one) � OWNERyor CONTRACTOR <br /> JOB SITE ADDRSSS: � ���, � j�,,;��,���_—l_ I �.. r�� ��E ZIP: �; � ���1 <br /> (work) .� 7 i -i s��'�e <br /> NAME OF OWNER: �Cv�T'°f" I���,,'r$i_ ", �:r;`,�r_'L PHONE: (home) �/i/ - �'rs�:.� <br /> MAILING ADDRESS: <��I$ '.C;�,��:�,'�:'�:a� L!L' CITY: /"�"t(:Y./N�-� Z IP: �53G 4� <br /> CONTRACTOR: s�C:C� 1- T l�U'U�� p IV��LL PHONE: 3z7-I,2,,�'v /���-G3 '75- <br /> MAILING ADDRESS: ,�� l�C' ��SSLc)C�cJ�� CITY: i'''�%;c,�ti'i� ZIP: $�;3G,�1 <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> �e���o P.emcde�;A1 te•-at;on Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : /1.��{� ,�-!��/�1 -� �'�T ;t�t=��� �l n'S�},��� <br /> ��-��.r° I/ �� �- �.`/�/'�s'a���1/� ���(,/.� /�1���"f' /�/� "� �"�'`!5/�t-T<l <br /> �: . <br /> STORIES r � -� SQ. FEET OF EACH FLOOR: � ���� 4�, �� �' <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT.� DET. <br /> BSTIMATED CONSTRUCTION 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 /> � <br /> C�' �tJ-`� i-1��, ��,l.�J�C. `�-"C:�-�=��� ` - !v' � �> <br /> APPLICANT'S SIGNATQRE: � , :� ti�/ DATE: I�, <br /> � <br /> i <br /> � <br />