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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: <br /> Ss o 0 Date Received: /? 9/ <br /> Date Approved: <br /> Entered By: <br /> Permit#: S <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: / D ZIP: <br /> (work) <br /> NAME OF OWNER: PHONE: (home) <br /> MAILING ADDRESS://A9 CITY: ZIP: <br /> 6 v <br /> CONTRACTOR: /.2/1/ja? � i PHONE: <br /> cf---VN <br /> �j <br /> /'r'_I/ $ <br /> MAILING ADDRESS: 7 //-/'7— CITY: /��U ZIP: <br /> 3 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : l ‘. '-714-41/ 1v� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �f\ 0) <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: i'oz:-/L,:x4 )1_ a / <br /> - DATE: - / . <br /> (Please fill out the reverse side of this form) <br />