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i <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee : $ �' ' S Date Received: <br /> Date Approved <br /> Entered By: �i <br /> Permit #. 7 d `2 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 7,/ t/VD `�i _S`Z ZIP: <br /> (work) <br /> NAME OF OWNER: PHONE: (home ) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: C= C 6 PHONE: q�� ' Z2 T <br /> MAILING ADDRESS: ZIP: 34-7 <br /> o c"&4_ . <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration_ <br /> PROPOSED WORK (describe in detail) : PL-) jja F�M�I I N I k)�;k L"A(-L <br /> I2-2� L25W SIT ttl4tfz.--I� 22 62- PtL2 � IDIS 0ATF-. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding 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 SIGNATURE: DATE: � 1�_ <br /> (Please f ' l1 out the reverse side of this form) <br />