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. � <br /> , CITY OF ORONO•-- BijIZDING PERMIT APPLIC�,TION <br /> Total Fee• $ �I` �7 Date Received: <br /> Date P.Dproved: <br /> Entered By: ' �"" . � �j�� • <br /> Peanit Q: <br /> ALZ INFORMATION MIIST B$ SIIBMITT� IN FIILI� BEFORE PI.AN REVIEW WII.L BB STARTED <br /> (See Check-aff List Enclosed) <br /> ----------------------------------------------------------- <br /> TgE A,ppyICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE 14DDRSSS: �a�0 5��� ` -�D�.tSL _ l't�ri.� ZIP: 5536� <br /> (work) <br /> NAI�: OF OWNER:�aW'� w�x 1�1� PHONE: (home) <br /> :+iAILING ADDR.ESS: 13`}� ��- T��- CITY: �J�.a'''`�o ZIP: SS3�`'� <br /> CONTRACTOR: e�� '�' ��a S C.a.D vr�c�r ��• PHONE: �"y 1-y 1 1 � <br /> �lAIZIxG ADDRESS:3153 �,�ue.d.."'� �••a+-� CIZ'I': �ow+� ZIP: SS36''� <br /> STATS LICENSE: � b0oo g99") <br /> ARCHITECT/ENGINEER: Ji�lO'�rt�. PHONE: <br /> MAIZING ADDRBSS: CITY: ZIP: <br /> �� RSGISTR�TIOR u <br /> _ �e�aw���k .�.. <br /> rYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteratian <br /> �ROPOSF.D WORK (describe i.n detail) : � <br /> 'TORSES: SQ. FEBT OF EACH FL�OR: <br />!r'O. OF B�DROOMS: GAR�GB STAI.LS: ATT. DET. <br />�STIlIlRATED CONSTRIICTION VALIIATION (ezclnding land) - $ �09 S.Ov � <br />= hereby apply for a building permit and I acknowledge 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 />::nderstand this is nat a permit and worlt is not to start without a permit; and <br /> :hat the work will be in accordance with the approved plan. . <br /> . <br /> PPI,ICANT'S SIGNA2'QRE: DATE: 7/o��o�93 <br />