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' CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> Total Fee: $ f a )� 0 '� Date Received: <br /> Date Approved: <br /> Entered By: ��`' <br /> Permit#: ���� <br /> ALL INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIE`W WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLIGANT IS: (circle one ) OWNER or CONT CTOR <br /> � <br /> JOB SITE ADDRESS: � �Q O � ��l�_� � ZIP: <br /> (work) <br /> i r 4 <br /> NAME OF OWNER: l�@ P I,v���� PHONE: (home) � � � � J D 7 <br /> MAILING ADDRESS: ��O� 1' Yl C,�'���I�� �, � �, <br /> CITY: V /��r� ZIP: <br /> � <br /> CONTRACTOR: O� W i��2� I ��� 5Q� PHONE: � �� � J � � � <br /> �`7 C `� c � <br /> MAILING ADDRESS: ��� ( �:'lA�� I�it�' ,�J�, CITY: �D(U/V " ZIP: J�J�� <br /> �"'"" �___---,, <br /> = Y� ,. <br /> TYPE OF WORK• New \ � dition Accessory Structure Move <br /> Demo __Re lteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �1��� �N �+`���� <br /> ; �' � � <br /> " `�� �; �-� �r��h �-���:�' ���-►���' �` �e�� �n`�t�- , �D <br /> `� _ �� ` <br /> STORIES: SQ. FEET ' � �� " , � �� � <br /> NO. OF B$DROOMS: GARAGE STALI�S: ATT. DET. , <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding 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 accor ance with th approved plan. <br /> . , <br /> APPLICANT'S SIGNATORE: �''.--�. �,�,w'.,:`'-°1-.� DATE: / /� c��'j /!�f I <br />