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� CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> � Date Received: �� (� <br /> Total Fee: $ <br /> Date Approved: / `� / <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MDST BE SDBMITTED IN FIILL BEFORE PLAN REVIgW WI7�L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THS APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ' I OO �" � A�� L)�`IV� ZIP: ��`� lD <br /> (work) (p�3 s�q <br /> FAl� OF OWNSR: ��(`� I���1� rl — \ VI PHONE: (home) 7��'b��� <br /> MAILING ADDRESS: �1 D� N� A Rm ����� CITY: (��l l�� ZIP:��3t0 <br /> CONTRACTOR: S�rI F PHONE: �.b bv� <br /> "MAILING ADDRESS: �b dJ�- CITY: �� Z IP: � � <br /> TYPS OF WORR: New Addition Accessory Structure Movs <br /> Demo Remo��/Alteration Renovate � Land Alteration� <br /> PROPOSED WORR (describe in detail) :SnS�ll G � 1�2�['� 1�t5�J7 �� �.� b� <br /> (t�; d�l-h V A r"+�s � m e� -�o " -�csL..-� • c� S 0 A <br /> 5 h�5�p Gu. i n C�e-S � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BBDROO1rLS: GARAGE STALLS: ATT. DET. , <br /> $STIMATED CONSTRQCTION VALIIATION (eacludinq 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 /> APPLICANT'S SIGNATORS: . DATS: ('�/'� 7I <br />