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�' r . • � CITY OF ORONO - BQII�DING PERMIT APPLICATION <br />� <br />�; - Date Received: <br />�' Total. Fe�: S - <br />� Date Aaproved: ' <br /> r <br /> r, . . <br />�� Entered Bv: Permit a: � � - - - - <br />� . � - <br />�' . . � - <br />� AT•T. rNgpgNIATION MIIST B$ SIIBMIR'TED IN FtII�L BEFORE PI,AN REVIEW WII� BE SZ;BRTED <br />� (See Check-aff List EncZosed) <br /> a. ---------------- <br />� ----- <br /> T I5:r (circI.e one) OS�7NER CONT.RACTOR <br />� T� APPLIC�N ' ����/ <br /> �T C� ��'�J D � �� ZIP: <br /> JOB SITE ADDRSSS: , /� ��Z� <br /> � (work) `'!' <br /> m o ,•,�-Q 1�C f��3�1� � iC� p$orrE: cnom � 5Zo <br /> � oF o�: ,� � zP: 53� � <br /> ��: Z <br /> MATT�ING ADDRESS: ��_ <br /> PHONE: <br /> CONTR�CTORz <br /> CITY: ZIP: <br /> MA=I.ING ADDRESS: <br /> STATE LICENSE: u <br /> PHONE= . <br /> ARCHITECT/ENGINEERs <br /> C=�,: ZIP: <br /> MATI.ING ADDRESS: <br /> REGISTFtATION a <br /> NAME: <br /> Accessory Structure Move •_ <br /> TYPE OF WORX: New Addition Land Alteration <br /> Remodel/Alteration Renovate <br /> Demo � <br /> � _�o l,� � b��� ��� <br /> PROPOSF.D WORK (describe a.n detail) : <br /> STORSES: /- S4- FE�T aF EA(� FZOOR: <br /> NO. OF BEDROOMS: <br /> ���Gg SZ+A7,T•S s ATT. DET. <br /> land 1 : $ � C� . o v <br /> g,STTM�Tg.D CONSTRIICTSON VA�IIATION (exclndinq e that the inf ormation <br />' I hereby apply for a building permit and I acknowledg <br /> t above is complete and accurate; that the wor3c ws-]-1- be in conform C de;'� thath= <br /> ordinances and codes of the City and with the State Building e�it; and <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 app=oved plaa- _ _ . <br /> u <br /> DATE- ��l ( � � <br />� APPLICANT'S SIGNA <br />� . . . . . . . <br />