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r - . CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> �-. , � <br /> Total Fee : $ %�.%�1�� ;� '� Date Received: �-9- � <br /> Date Approved: <br /> Entered By: �r� �- ��� ��� <br /> Permit#: �%�j� l <br /> ALI� INFORMATION MIIST BE SIIBMITTED IN FLTLL BEFORE PLAN REVI�W WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------- -- --------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: � �Q l � �Tf ryl �f, V���U �N ZIP: �j S �(t�� <br /> (work) �---- <br /> xAr� oF owrrER: L� r i C k 1� . Y�� 1 l � r� �p pHorrE: (home) '�7�,"3�1�Z <br /> MAILING ADDRESS: � C..� � L CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS : CITY: ZIP: <br /> TYP$ OF WORK: New� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : ��E �C:t C,N E�t � �-1 i^�t S (� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGE STAI.LS: ATT. DET. V <br /> a�e <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcludinq land) : $ � ��d _ �' <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 SIGNATURE: � �� � DATE: �� �Z � <br />