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. � CSTY OF ORONO - BIIILDING PERMIT APPLICATION <br /> o� � Date Received: <br /> Total Fee: $ �� ' <br /> Date Ac�roved: ' <br /> � ` /� � <br /> Entered By: Permita: � � <br /> AI�L INFORMATION MUST BS SIIBMITTED IN FiJLI� BEFORE PLAN REVIEW WIIZ BB SZ;�RTED <br /> (See Check-off List Encl.osed) <br /> ----------------------- <br /> T� AppLIC�NT IS: (circle one) OL�INER or CONTRACTOR <br /> JOB SITE ADDRBSS: <br /> ��U "�'/ s�'t ��Q�i-, ,�� ZIP: S S � � � <br /> (work) y?�- � � �� <br /> NAME OF OWNERs <br /> S�f-c �-c 1^/�i Q,.� �i PHONE: (home) � 7/� 1 7" " <br /> MATI�ING ADDRESS: �C Q � 5�i o��(�`' P �� CITY: ,/�����/� ZIP: SS 3 `� Z <br /> PHONEs <br /> CONTRAC'rOR: <br /> MATZ�ING ADDRESS: <br /> CITY: ZIP: <br /> STATE LICENSE: � <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> MAII�ING ADDRESS: <br /> CITY: ZIP: <br /> NAME_ REGISTR�TION a <br /> Additian Accessory Structure Move - <br /> TYPE OF WORR: New Renovate Land Alteration <br /> D�o Remodel/Alteration <br /> . �.� � <br /> PBOPOSED WORR (describe i.n detail) : �' �ta��� � � � � ���� <br /> � G dCt-1 � �o S�G�2( r,�e �/� �� <br /> STORIES:___ SQ• FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GAR�GE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacinding landl : $ <br /> I hereby apply for a buil.ding permit and I acknawledge that the information <br /> abave is complete and accurate; that the work will. be ia conformance with the <br /> ordinances and codes of the City and with the State Building Co ee�i haand <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the approved plan. <br /> � � � ` � �� s- � �f <br /> DATE: <br /> APPLICANT'S SIGNATQRE: <br /> • �' I� � �S��"� . . . . . .. . . � - - � . . <br /> _ . . . � `.��-.�,,'_ �`t <br />