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T :��,�e�,�'�r 7 <br /> � .� CITY OF ORONO - BUILDING PERMIT APPLICATION`� � <br /> � Date Received: � -��- �� <br /> Total Fee : $ �� C (�� <br /> Date Approved: <br /> Entered By: /`-�r ti'� 2 <br /> Permit#: ,�a '�S <br /> AT•T• INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIgW WILI, BE STARTED <br /> (See Check-off List Enclosed ) <br /> ----------------------------------------------------------------------- <br /> THE APPLIGANT IS: (circle one ) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: •lj 3 �� �Q.�S�da L �f�l IC�#✓_ Z IP: .5 5����1 � <br /> (work) <br /> C� / ` f � ) ' � <br /> NAME OF OWNER- J��- S�v�e �t � � (� � V l � � ���n•���� PHONE: (home ) �)�'- ��7� <br /> MAILING ADDRESS: C�1- t,��---cz _ CITY: W Z-�t�►�+- ZIP: S�S.3 f� <br /> � <br /> CONTRACTOR: �Q � �� �� ���< <�' " s PHONE: �f 7 / '� ��7� <br /> MAILING ADDRESS:��S ���"�S�'3���`y� /�'+' CITY: /'�,'��yz`' 7`'°` ZIP: .S=�3 j / <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �: �� ; � ��"� <br /> _ G O <br /> �'C.��,r/ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> / �G `�r <br /> ESTIMATED CONSTRIICTION VALIIATION (egcluding 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 accord nce with the approve plan. <br /> ___ <br /> ' � !�p o�:S' <br /> APPLICANT'S SIGNATQRE: DATE: <br />