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. ' CITY OF ORONO - BUILDING PSRMIT APPLICATION <br /> Total Fee: $ �'7 • 3� Date Received: �j+o�� -� � <br /> /� Date Approved: <br /> Entered By: C, <br /> Permit#: ���0 b <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FOLL BEFORE PLAN REVIS'W WII,L BS STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------------------------- <br /> T� APPI�ICANT IS: (circle one) OWNER or CONTRACTOR <br /> Jos siTs Annx�ss: I4q.� 1�14RI��R�VL:' Z1P: SS3�o� <br /> (work) SS�3-5'�7�, <br /> x� oF owN�x: � �o � h �I�C�� Paoxs: (home) ��2•3�3 9 <br /> T <br /> MAILING ADDRESS: I 'T -/ G �p�IG ��V�� CITY: �O tlN� ZIP: �5�(�T <br /> •CONTRACTOR: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> TYPE OF WORR: New Addition�_ Accessory Structure Move <br /> Demo Remode�/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : q dd: ��� Z S T��� QC vi�10 r1 '�`o �Mwh`�! Ch�i'ywl�y <br /> 1t�^tl �XpAY��N VnI�tY �t d►'i►�M AN � �Z 1 � St��Y �wN'� ��k�,�, acc►aaSS W�fT f��s a►+a�ParfidFS���� S�lti <br /> �dd�f�oN : tia �iat�t cAei� �'l•wr <br /> STORIES:�_ SQ. FEET OF EACH FLOOR: �er�� : 3Ga }t�+,l.w�r ��odY , <br /> NO. OF BEDROOMS:�_ GARAGE STAI.LS: ATT. DET. <br /> $STI1�lATED CONSTRIICTION VALIIATION (escludinq 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 SIG�ITQRE: � DATE: S �Z �•� �. <br />