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_�• '� CITY OF ORONO - BIII7�DING PERMIT APPLICATION <br /> Total Fee• $ Date Received: ^c� y�-�, Ly <br /> � Date Approved: �'� ��`d' -iC� <br /> Entered By: i Permit#: ��C,% <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FiTLL BEFORE PLAN REVI�F1 WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> --------------------------------------�--------------------------------------- <br /> THE APPLICANT IS: (circle one) ER r CONTRACTOR <br /> JOB SITS ADDR$SS: Cl � � ' t,c� � - ZIP: S� �j�� <br /> (work)���--f�.-�� <br /> rtp,ME oF owxEx: ��.f;�c E�?��-%�., �c.c�,2�,�+��� pHoxE: (h ome) `�d?l�'1���j"� <br /> MAILING ADDRESS s . ,`" �� ��ti-c . CITY:�-:J c.r� ��"- = ZIP: �j� ��`� <br /> � <br /> v <br /> C�NTRACTOR: PHONE: <br /> :rSAILING ADDRESS : CITY: ZIP : <br /> TYPE OF WORR: New� Additian Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> � � �. <br /> PROPOSED WORR (describe in detail) : / C�� �-[ c� �v ��� <br /> STORIES: SQ. FEET OF EACH FZ�OOR: <br /> NO. OF BEDROOMS: GARAGE STALI,S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excludi.ng 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 wil 1 be in accordance with the approved plan. <br /> � c n 'r �> > '/ G <br /> APPLICANT'S SIGA�T[�•��or..�-�'�.� O �c�-�,�C��y. c�l���C�m�.r� DATE: �( � � 7 % CJ <br />