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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ )5 Date Received: <br /> AN-, <br /> Date Approved: <br /> Entered By: /,�,'✓ <br /> Permit#: � 2,5-2 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed ) <br /> -------------------------------------- ----------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER r CONTRACTOR <br /> JOB SITE ADDRESS:) `ham ��_ ZIP: S 3 <br /> (work) <br /> NAME OF OWNER: :22� l%�L PHONE: (home) 7-- <br /> MAILING <br /> MAILING ADDRESS: U )!Y2 . XtIck CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New x Addition Accessory Structure Move <br /> Demo Remood"eT/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : � t O re <br /> STORIES:_ SQ. FEET OF EACH FLOOR: q <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: <br />