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� � CITY OF ORONO - BIIII,DING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> � �- � Date Approved: <br /> Entered By: <br /> Permit#: <br /> AT•T• INFORMATION IKDST B$ SIIBMITTED IN FIILL BEFORE PLP,N REVIEW WILL BE STARTED - <br /> ----------------------------------------------------------------- <br /> THE APpLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: ` 3� ��"�rl�f/�8�� "' • ZIP: <br /> (work) <br /> N�ME OF OWNER: PHONE: (home ) <br /> MAILING ADDRESS: �O �' �� CIT�= ZIP: <br /> CONTRACTOR: �1��/L�l�K ��Pll/D�S �f2�- PHONE: q7q'-�9�0 <br /> AiAILING ADDRESS: (pBDD �,��L!/11I� CITY: � !O'! , ZIP: .1'�..�J / <br /> R'�PE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> r / � �/� <br /> PROPOSED WORR (describe in detail) : �..��I✓r-d � `�Si�'c„l�� llL�Gt/ <br /> G�� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO,. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding land) : $ / lyari��� <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 /> und�rstand this is not a Fermit and work is not to start without a �ermit; and <br /> that the work will be in accordance with the aFFroved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��`����/ <br /> lPle e 11 out e reverse side of this form) <br />