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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ �_,�U Date Received: �� � <br /> ' L Date Approved: <br /> I Entered .By: l.� <br /> Permit#:< <��� <br /> ALL INFORMATION MDST BE SIIBMITTED IN FiTLL BEFORE PLAN REVIEW WII,L BE STARTSD <br /> ' --------------------------------------------- ------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o ONTRACTOR <br /> 5'�' ���-- <br /> JOB SITE ADDRESS: ZIP: �"�� � � - <br /> (work) <br /> NAN�: OF OWNER: �S ���/ ,}���o •� PHONE: (home) <br /> MAILiNG ADDRESS:��.S�S" L Sr q(io r ci �tJ CiTY: �o�o rt.e ZIP:5�35 7 <br /> CONTRACTOR: o S o -e- o �... � / ' �O 1 PHONE: �j��_ �,i,�c/ <br /> MAILING ADDRESS: CITY: ,/Lf�.,U,..� �( ZIP: S`,�3�c/ <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �.�,rco'� ��Q� /�o r c/ ro o � <br /> � /c�..�rr -QR�sT/a� J <br /> STORIES:�_ SQ. FEBT OF EACH FLOOR: <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALDATION (eaclnding land) : $ ��"Q "� <br /> I hereby apply for a building permit and I acknowledge that the informatic <br /> above is complete and accurate; that the work will be in conformance with tr <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a �ermit and work is not to start without a permit; an <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATQRE: �� _ DATE: •- <br /> �-� l�'� <br /> (Please fill out the reverse side of this form) <br />