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. <br /> � . <br /> . ` <br /> , � CITY OF ORONO - BIIIZDING PER�LIT APPZIC�iTION <br /> Total Fee: $ �7• S v Date Received: <br /> - Date A�proved: <br /> Entered By: - q ' - - � �C� <br /> Pe�nit a: � <br /> A�L INFORMATION MIIST B$ SIIBMITTSD IN FIILI� BEFORE PI�AN REDIEW WII.L B$ STP'R�D <br /> (See Check-off List Enc].osed) <br /> ----------------------------------------------------------- <br /> THE APpLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: ZIP: <br /> (work) <br /> NAI�4: OF OWNER: /�Gsti�� -�✓ PHONE: (home) ���^ ��G� <br /> :�ILING ADDRESS: n � c3O � ��-� �/.�� ��: �� .�1 ZIP: <br /> �i� y73 �s� � / <br /> �ONTRACTOR: PHONE:�/ � ' T Y� G <br /> �zix� p,nnx$ss: ��� r��7 3 u �,/ ci�: ��y ziP: 5.�3 ��' <br /> ;�TATS LICENSE: � �� �� _ <br /> ARCHITECT/ENGINEER: PHONE: <br /> `�.AILING ADDRSSS: CITY: ZIP: <br /> ��: RBGISTFtATION a <br /> ,"YPE OF WORR: New Additicn Accessory Structure Move <br /> Demo Re�nodel/Alteration Renovate Land Alteration <br />?ROPOSF.D WORR (describe in detail) : ^ � ` � <br /> ��-� .�� � ��'��. ,�'�/d <br />�TORI$S: SQ. FEBT OF EACH FLOOR: <br />�O. OF BBDROOMS: GARAGB ST�lLLS: ATT. DET. <br /> 7.ST2I�SATED CONSTRIICTION VALIIATION (esclnd i.n J land) ' $ <br /> � � <br />: hereby apply for a building permit and I acknowl dge that the information <br /> bove is complete and accurate; that the work will be in conformance with the <br /> �dinances and codes of the City and with the State Buil.ding Code; that I <br /> -:derstand this is not a permit and work is not to start without a permit; and <br /> :zat the work will be in accordance with the approv plan. . <br /> . � DATE: � < �/ �7� <br />.?'PLIC,ANT'S SIGNAZ'QRE: _.. <br />