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x <br /> , <br /> � ., <br /> . . CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> To�aI =ee: S Date P.eceived: <br /> Date P.�Droved: <br /> Entered By: � /'�� `��: . <br /> Pe�it�: ' <br /> AT•T• INFORMATION MIIST B$ SIIBMIT'�� IN FIILL B�FORE PI.AN REVIEW WII�L B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> _ i) i ,_ � <br /> � �'! /� ,� � l <br /> JOB SITE ADDRSSS: ' ; �` � �/iC/`t���+r %i",' ��, r !-G�f., lf,', ZIP: <br /> (work)�>,�`_ "�';� <br /> *7'�i�: OF OWNER: �d��� �"�'�a!"/�/�C� L-w� «'tZ G 6��t�'r<'± PHONE: (home) `{��- "` L�G�� <br /> :�iAILING ADDRESS: �%`�f� f�Cv[��ny %�, CITY:��d L ct�l� ZIP: <br /> .,�/ /� f � <br /> �ON'Z'RI�C'1`OR: '�J%,��1 �!;'C ' �"' �;/���' L.!"!,'��h. ���; � �i�i';, �' JPHONE: <br /> '3AII�ING ADDR.ESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAIZING ADDRBSS: CITY: ZIP: <br /> NAM�: RSGISTRATION 4 <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : �'�L�l/�'/�� l�.�'"�% � /�'/�'�r <br /> :.TORZES: SQ. FEBT OF EACH FZOOF2 r <br />:?�t7. OF B$DROOMS: G�GE STI�LLS s ATT. DET. <br /> �STIHATED CONSTRIICTION VALUATION (eaclnding land) s $ % ��� • ��%� <br />= hereby apply for a building permit and I ackaowledge that the information <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 /> �derstand this is not a permit and work is not to start without a permit; and <br /> :at the work will be in accordance with the approved plan. . <br /> � <br /> ` � ' - ,�'�A- -r,�',' <br />��PLICANT'S SI6NATQRE: �'�7 ���� DATE: ,� <br /> _� ,,. <br />