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J <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Oo2, Date Received: <br /> '/�—/v Date Approved: �� ���'7 n <br /> Entered By: <br /> Permit#: 9! <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or ONTRACTOR <br /> JOB SITE ADDRESS: � / ( � s: l i,�t ! OP ZIP: <br /> (work) j ` <br /> NAOF OWNER: �� �+, 'L L ,"�� PHONE: (home) <br /> ME <br /> MAILING ADDRESS: 74c) o). 16,1 c,)ie CITY: iAgzd- & ZIP: <br /> CONTRACTOR: I yP j � ` .jh PHONE:- <br /> MAILING ADDRESS:,3:C 14 ELVD CITY: �L�%Lt 1_� ZIP: �5 { <br /> TYPE OF WORK: New AdditionAccessory Structure Move�l!"C <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : OYA1'- <br /> V' <br /> SI rl rt <br /> STORIES:_ SQ. FEET OF EACH FLOOR: � y✓i`f �i�i�,r'2; kd <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding 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 accordance with the approved plan. <br /> f ' — V <br /> APPLICANT'S SIGNATURE: DATE: C� ) <br />