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CITY OF ORONO - BDILDING PERMIT APPLICATION <br /> , <br /> Total Fee: $ / _i�C . :� `� Date Received: / - �� `%1 <br /> I , Date Approved: <br /> Entered .By: c:��-� <br /> � Permit#: � S/ C- <br /> i <br /> � <br /> i <br /> ' ALL INFORMATION 1KDST BE SiTBMITTED IN FDLL BEFORE PLAN REVIEW WILL BE STARTED <br /> ' ------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: � � �� ��',��/��'�1��CU-z`�-��--�1 ZIP: �� ��l � <br /> (work) <br /> NAML OF OWNER: �,�,�� �j �� ��- PHONE: (home)y ' -C��'7 <br /> MAILING ADDRESS: �' �C�� ����.Y..e��c,C�-c�-o-z� CITY: C��.�y,.,��n;- ZIP:���`1 _ <br /> �� � r� <br /> CONTRACTOR: ��L.����-�-� a���� PHONE: � 7 3 ' �C� S 3 <br /> ... <br /> MAILING ADDRESS: ��' ��( � I CITY:�;'�c��, _ ,� Z IP: ��:3�� � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate�� Land Alteration <br /> PROPOSED WORR (describe in detail) : i( .�Q�cl�c a�<--�--�� ��-� ��� <br /> .�i 1���-�C�'`� r��_-�'�'-_` �`�/-�L-cx_-�l -f-tt:.�t c-�S--�-�rr-�t��' Y <br /> STORIES:_�� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �,<, <br /> ESTIMATED CONSTROCTION VALDATION (excluding land) : $ �,,� ;����� � <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 ti <br /> ordinances and codes of the City and with the State Building Code; that <br /> understand this is not a Fermit and work is not to start without a permit; a <br /> that the work will be in accordance with the approved plan. <br /> �-�--��s�--�t_-�,-., ��-c_ <br /> ��-�-u-�-Z= - <br /> APPLICANT'S SIGNATIIRE: �� ;�%-��iZ�t.�� DATE: � �T <br /> (Please i 1 out the reverse side of this form) <br />