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�I<r � <br /> CITY OF ORONO - BIIILDING PSRMIT APPLICATION <br /> Total Fee: $ Date Received: � � �7 -�i � <br />� Date Approved: <br /> Entered By: <br /> Permit#: <br /> AI.L INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIgW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one ) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: /3 ya �es� � rh � �/� ZIP: 5 S.3 � � <br /> �'l �� (work) L17�- Z� I I <br /> I1AME OF OWNER: F-�- .�212,H �- ��'_a ��(�l's--� PHONE: (home) �702-1�7 0� <br /> MAILING ADDRESS: /3�a �PesT" ���v� �('i� CI�= � � w"`°� ZIP: SS 3 ��- <br /> CONTRACTOR: � �C'i�-� PHONE: <br /> MAILING ADDRESS : �/�✓�-�— CITY: ZIP: <br /> TYPE OF WORR: New Addition Accessory�tructure � Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �� !/,Pc� � ,��a/�e� � 02 �-�5�'���°Z <br /> �, �a,� �,o-...�,�. h.e�D C ca,��-e.�. ►2 o�-,e�Q Dv►� S� .t��-�.� �. s o�- ov` .a <br /> w� <br /> STORIES:� SQ. FEET OF EACH FLOOR: <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALIIATION (ezcluding land) : $ ��SO /1'�aY.i�� <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 SIGNATORE: � DATE: �� �� � �� <br /> (Please fill out t e reverse side of this form) <br /> ���� � <br /> �-�� _��� <br /> � 1C� <br /> d <br />