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i � CITY OF ORONO - BQILDING PERMZT A.PPLICATION <br /> Total Fee: S Date P.eceived: <br /> Date P.�proved: <br /> �ntered By: � �'c��/ ' <br /> Pe�it�: <br /> AL.I, INFORNiATION MIIST B$ SDBMITTRD IN �DI�I� BEFORE PI,AN REVIEW WII.L B$ STAR�'.D <br /> {See Check-off List Enclosed) <br /> --------------------------------- -------- <br /> � gppLICANT IS- (circle one) OWN�,R;Gr CONTRACTOR <br /> JOB SITE ADDRSSS: � �� � �1��.�`� � U�V��' �CiNL_- � ZIP: ���� ,�� �I <br /> (work) <br /> N� OF OWNER• '�.� � . . e, PHONE: (home) ��C�����'t <br /> � <br /> :3ASLING �Dx�ss: 1 v�l\ '� c��v�,'� `.c�.usz.cz�: ��� zzP: �S �C�;� <br /> � � . ( ��r�\ <br /> CONTRI�CTOR: V � � �-�jt�V�+1-ti�/�r2� !� � PHONE: <br /> 'cSAII�ING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHSTECT/ENGIN��R: PHONE: <br /> MAIZING ADD�SS: CSTYs ZIP: <br /> N��: RBGISTR.ATIOA u <br /> TYPE OF WORR: New Addition Accessory Structure� Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> Q � ' <br /> PROPOSF.D WORR (describe in detail) : 0 x �;� ���-� ��'`� <br /> STORIES: , SQ. FEET OF EACH FI�OOFt= / � <br /> NO_ OF BBDROOMS: GARAGE STAI.LS: ATT. DET. <br /> �,, G , <br /> ESTIH�TED CONSTRIICTION VALIIATION (eacluding land) : $ � �•G <br /> _ hereby apply for a building permit and I ackaowledge that the information <br /> ybove is complete and accurate; that the work will be in conformance with the <br /> :rdinances and codes of the City and with the State Building Cade; that 2 <br /> ;nderstand this is not a pe it and work is not to start without a permit; and <br /> ��at the work will be in acc d ce with the approved plan. . <br /> , g <br /> ':PPZIC�7T'S SIGNATDFtE: � �"' DATE: �� / �� <br />