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r CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> • <br /> Total Fee: $ Date Received: <br /> -Date Approved: <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER • CONTRACTOR <br /> SITE ADDRESS: / � <br /> JOB °4/0 /4/ 2)&dlt / j ZIP: <br /> (work) 931 5,07 <br /> NAME OF OWNER: Kvu 1 £r) PHONE: (home) //7 "/icl./6 <br /> MAILING ADDRESS: 6OI4/ /) kG1LQt.., CITY: 4.4244J___ ('ZIP: 55-5 T <br /> CONTRACTOR: Z--,e4n_0"4.11-kebbk\/44PHONE: `t eld�' T Sz s‘ <br /> MAILING ADDRESS: (4) ('7 u) gvi.lol CITY: MOo A) 01 $) ZIP: S-5-36(7 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration enovate x Land Alteration <br /> Re-pm:co) <br /> PROPOSED WORK (describe in detail) : eckiDdi4-C L5- 1,49e/e../41.42f4)..5 d m (S <br /> STORIES: SQ. FEET OF EACH FLOOR: 8449.240) <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. X <br /> i� 0249 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /4 k* <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 /> '-.. .\... 9-SCZ DATE: �0 4/ <br /> APPLICANT'S SIGNATURE.: <br /> (Please fil, out . e reverse side of this form) <br />