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CITY OF ORONO — BUADING PERMIT APPLICATION <br /> Total Fee: $ 440e1 A6(. Date Received: /' /Y.- 7/ <br /> Date Approved: <br /> Entered By: r/ <br /> Permit#: 2./(leg <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: "Za C'© ) 01 - /7°39"2-,0 ZIP: <br /> l 7/4 V Z o%_ G4 /21/)/ <br /> (work) (y7'/—/F/ <br /> N2ME OF OWNER: PHONE: (home) 7 2 Za <br /> MAILING ADDRESS: .0 d)( 7 -7 CITY: ZIP: <br /> CONTRACTOR: / VU C// PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : TEA- - 0-PP p �o <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ /D e <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: OGf /5, /7 ?/ <br /> (Please fill out the reverse side of this form) <br />