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� ' y CITY OF ORONO - BIIILDING PERMIT APPZIC�T��N <br /> � Date Received: <br /> Total Fee: $ - <br /> Date A�nroved: ' <br /> Bntered Bv: Fer.nit�: � - __ . <br /> TION MIIST BS SUBMIT�ED IP7 FL7LZ B��� P�N �vl� �I'I' BE S�`�RTFJ� <br /> AT.T• INFORMA (Se� Check-off List Enclosed) <br /> ----------------.------ <br /> ------ <br /> ---------- <br /> _ ------------(circle one) Oi�T�IER CONTQACTOR�� <br /> THE APPI,ICA21T I5: ---- <br /> .'- � y �:- ZIP s <br /> JOB SITE ADDRSSS: _ � `� ' <br /> (work) <br /> � � l P30NE: (home) <br /> NAME OF OWN�= � � ! F `'" /<< iti��%� <br /> CITY: ZIP: <br /> 2�AII.ING ADDRESS- , <br /> � <br /> � �' , � PHONE s �l �/ _. `��.L� <br /> ' � c; ; c,c'" ' r-- <br /> CON�RACTOR: -n �-j ' � C- CSTY: /��-,�.1`= �I ZIP: �: '� �:��' �� <br /> MAT_T ING ADDRESS_ `��/�� ,�.� � r,`: ' { <br /> STAZ�E I,IC.�NSE: T `7 �/J� <br /> PHONE= <br /> ARCHI'I'�'CT/ENGINEER: <br /> C=�: ZIP: <br /> MATZING ADDRESS: <br /> REGISTFtATZON � <br /> NAME: <br /> Accessory Structure Move � <br /> TYPE OF WORKs New Addition Land Alteration <br /> Demo Re.*nodel/Alteration <br /> Renovate <br /> �1 <br /> PROPOS� WORK (describe in detail) : <br /> ��� �;���. � <br /> STORSESs S4• FEET OF EACH FLDOR. <br /> ��� gTAT,T•g: ATT. DET. <br /> NO. OF BEDROOMS: _ <br /> c��-. <br /> � I.and) : $ _-���C��'' — � <br /> ESTI�SA�F.D CDNSTRUCTION VALt7ATSON (eaclndinq <br /> hereb apply for a building permit and I ac�cnowiedge that the info�ation <br /> I Y that the wor!c wi11 be in conform Code �'''ithathS <br /> above is complete and accurate; and with the State Building e�it; and <br /> ordinances and codes of the City <br /> understand this is not a permit and work is not to start without a p <br /> that the wor}c will be in accordarice witiz the apprvved pl.au. • <br /> % � / j�/ <br /> ; �� / �_--� DATE s l< ` � � <br /> APPIrICANT'S SIG2IATORE s /` <br />