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,. . <br /> . CITY OF ORONO - BIIILDING PERM.IT APPLICATION <br /> � �/ � ,� �1� �/`�'J <br /> jo�zl ree. $ Date Received: ! 1� <br /> , _ Date P.pproved: <br /> �,�� <br /> Entered By: ' I` � <br /> Pe�it�: •. -�`J � <br /> ✓� <br /> AT•T. INFORMATION MIIST BS SDBMITT� IN FIILL BEFORE PLAN RF.'STIEW WII.L Bg STAR�F.D <br /> {See Check-off List Enclosed) <br /> -------------------------------------------- =—==_`�------------------------- <br /> T� AppyICANT IS s (circle one) OWDIER o CONTRACTOR <br /> JOB SITE ADDRSSS: �2 �1'C�' �'�-�,=�� � ���' �'�� � l"-�`(�"�� ZIP: <br /> (wark) <br /> :d� OF OWNER:��� �� �`��`��r'���~' PHONE z (home) <br /> :�II,ZNG ADDR.ESS: �� �� �-'�� W ��� r�`' �ITY: �'n'�i��l ZIP• <br /> CONTRACTOR: � JL�1 �'�� ����I��L'�'� PHONE: �� �) I � ��_�. <br /> ��zrxG x�DxESS: `� 3 z-� C��l�1 b'��,�C�'�"c�� � I r��=�'���f�IP: �� � Q S <br /> _ � <br /> STAZ'S LICENSE: � �)��' 2� � � <br /> ARCHSTECT/ENGINEER: ��n'�''J (h '�'����'r� PHONE: �"l � � � � �� <br /> � �� -z� G�������..,,��,-r�� �� t,r����r-� ZZP: ��'3as <br /> .KP,.ILING ADDRBSS: � � <br /> 'iAME: R$GISTFt�TION A I �� �J C` . <br /> '�YPE OF WORR: New Addition Accessary Strncture Move <br /> Demo Resnodel/Alteration� Renovate Land Alteration <br /> ?ROPoSF.D WORK (describe in detail) : ������`� -� <br /> �TORSSS: SQ. FEBT OF EACH FLOOR: <br /> y0. OF BSDROOMS: GARAG$ STAI.I�S: ATT. DET. <br /> � � 4 �� , � �7 <br /> �STIIrSATED CONSTRIICTION VALIIATION (eacluding land) : $ / <br /> : hereby apply for a building permit and I acknowledge that the iaformation <br />.�bove 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 Code; that I <br />-:nderstand this is not a permit and work is not to start without a permit; and <br /> :aat the work will be in ccordance wi the approved plan. . <br /> 1� ,_ `, P DATEs � 1I✓� l� i l ��� <br />'�DPLICANT'S SIGNATURE: � � <br />