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� `� CITY OF ORONO - BIIIZDING PERMIT APPLTCATION � <br /> Date Received: <br /> Total Fee: $ <br /> Date Approved: <br /> � Entered By: .�C��J Permit�: 7'��� <br /> AT•T• INFORMATION MUST B$ SIIBMITTED IN FiJLL BEFORESeI�N �vI� �I`I' B$ STARTED <br /> (See Check-off List __________________ <br /> ------------- � : <br /> ------------------------------- � <br /> �gE p�ppI,ICANT IS: (circle one) 0��7NER or CONTRACTOR �53 ' <br /> � JOB SITE ADDRSSS: <br /> �o�0 5�0,�1���� ZZP: � - <br /> (work) <br /> `� psoxE: (home) y73-///.3 � <br /> N� OF OWNER: R�GI�Sb 1'�l <br /> MAII�ING ADDRESS: ad�� v/'(l�le� l!�-t °�- CITY: �201�'!7 ZIP: �.5'c3c1� <br /> � PsoxE: �B I �-� Y/ <br /> CONTRACTOR: -S h'�S �� � <br /> MATI�ING ADDRSSS: <br /> �'jyl Gt� �d � ci�: � D��K 7�rr zzp: s�sy�� <br /> STATE LICENSE: # �Oa ��6� <br /> PHONE: . <br /> ARCHITECT/ENGINEERs <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> REGISTFt�TION u <br /> NAME: <br /> Accesso Structure Move � <br /> TYPE OF WORR: New Addition � Land Alteration <br /> Demo Remodel/Alteration Renovat �_ <br /> �rj 0�/h�� <br /> PROPOSED WORK (describe i.n detail) : DO <br /> � /���/�� <br /> STORIES: SQ. FEET OF EACH F'L�R: <br /> NO. OF BEDROOMS: <br /> GARAGE STALI.S: ATT. DET. <br /> N pALIIATION (eacluding land) : $ ��� <br /> ESTIMATED CONSTRIICTIO <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 wi�hathI <br /> ordinances and codes of the City and with the State BuiI.ding Co ermit; and <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be i nc wit the approved plan. <br /> DATE: ���/ � <br /> APPI�ICANT'S SIGNATIIRE: <br />