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CITY OF ORONO - BUILDING PER-HIT APPLICATION <br /> Date Received <br /> Total Fee: $ <br /> Date Aonroved: <br /> 7ntered By: Z . Permi t i <br /> FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> INFORMATION MUST BE SUBMITTED Enclosed) <br /> „7.T• (See Check-cff List --------------------------- <br /> �T�.E APPLICANT IS <br /> (Circle ene) OSINER o CONTRACTOR <br /> ���,1 .� ��t�� � � ��' ZIP: <br /> JOB SITE ADDRESS: (work) <br /> I / <br /> PHONE: (home)/ <br /> PNAME OF OWNER: d pE 2� -dam ,J 0 R(J Ss <br /> �x �s <br /> CITY: St�PI� C ZIP: <br /> ��ILING ADDRESS: � c 3 -070 <br /> S-6 A R n/C, PaoNE: 73 ^� <br /> CONTRACTOR: KF 0 U�n ZIP: 6, S`r / <br /> r �o CITY <br /> MS <br /> ALING ADDRESS: p O S <br /> STATE LIG..NPHONE: qt <br /> SE: <br /> Imo FF; A — �j--60tj ham?� <br /> �S.R.cas T�cT/�=rGZN�: / ��k <br /> CITY: ke o Com- ZIP. <br /> :1 ILTNG ADDRESS <br /> REGISTRATION <br /> NAME: <br /> Addition Accessory <br /> Structure Move <br /> Py OF WORK: New Renovate Land Alteration_ <br /> Demo Remodel/Alteration _ <br /> PROPOSED WORK (describe in detail) : N <br /> c e C n7t <br /> STORIES: � SQ. "T OF FACE FLOOR: <br /> DET. _ <br /> No_ OF BEDROOMS:- <br /> GARAGE STALLS: AT- <br /> ding land) : 2O <br /> ESTIMATED CDNSTRUCTSON VALUATION (eacin $ .O <br /> erm. t and I acknowledge that the information <br /> T hereby apply for a build_nq P work wi_I be n conformco eW ith hath1 <br /> i i <br /> above is complete and accurate; thaat thnd with the State Building permit; 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 work will be in accordance with the approved plan. - <br /> �'� SL IRR !R u L/C i lel C- DATE: <br /> j �Er= <br /> APPLICANT'S SIGNATURE: 11 <br /> C/0-jr-A <br />