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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ;� . ,,, <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> AT•T• INF'ORMATION IYIOST B$ SIIBMITTED IN FULL B$F'OR$ PLAN REVIEW i�TILL BE STARTED <br /> ------------------------------------------ ------- --------------------------- <br /> T� APPLICANT IS: (circle one) OWNER o CONTRACTOR <br /> JOB SITE ADDRESS: �3S `v r 7'�,�-� l.�d� � ZIP: <br /> (work) <br /> N1�ME OF OWNER: �i // o �e �i �.�,�J PHONB: (home) L/7/-�S��cS <br /> MAILING ADDR$SS: CITY: ZIP: <br /> CONTRACTOR: o ��o ma � � oY'S' N PHONE: L-/77` - 9/�y <br /> MAILING ADDRESS: �' S o � CITY: �ov�cl ZIP: �3(0� <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> scribe in detail : � 4 0� <br /> PROPOSED WORR (de ) .Q c9 � � <br /> STORIES: SQ. FEET OF EACH FI.00R: <br /> NO. OF BBDROOMS: GARAGS STALLS: ATT. DET. <br /> $STIMAT$D CONSTRIICTION VALIIATION (eacludinq land) : $ O'� � <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: �-/�- 9/ <br /> lPlease fill out the reverse side of this form) <br />