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<br /> e • CITY OP ORONO - BIIZLDIN� PnRHIT APPZ,ICATION
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<br /> ,--•r; ? • Date Received:�a5�1�
<br /> Total Fee: S �� "' • � � .
<br /> Date Avorove8: �
<br /> Entered Bv: <''fr - Permit$: ���`/�� ':_:
<br /> «,•"t �y, � �': 7LT•T• INPORMATION ASIIST BE SIIBMITTED IN FL7LL BEFORE PS�r�II REV=EW WII+L BS S�RTP.D
<br /> � : (See Check-aff List Enclosed) -------------r~---------
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<br /> #k++A`�������; �,a� TS� A.PPLIC�NT IS: (circle one) Ot1NER or CONT_4ACT0
<br /> �`� ` ������� � �O'�-� � Z=P:
<br /> JOB SITE ADDRLSS: j� ��W� _ '-
<br /> • (work)
<br /> �`'� � ` ��/�'Q'��,'J G �C�T PHONE:(home�{c-S29(Q
<br /> ��, ;5�'&''�w�s� �7 PI�ME. OP OWN2?Ft: -
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<br /> � ,� ��;�� � HA�I'iC- ADDR.ESS �'`I
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<br /> ARCBITECT/P.NGINEER: �10{-� �� PHONE:
<br /> �Ty: ZIP:
<br /> MAIZING ADDRESS:
<br /> NAME_ REGISTRATION Q
<br /> � / !/ Move •
<br /> �,,, � ���;... , � �-ka� pp wpRR: New V Addition Accessory St�cture
<br /> �,_ , Laad Alterat_on
<br /> � ' '"� " D",.-�o R��nodel/Alteraticn Renovate
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<br /> '�� '��;�'� ':,�� STORIES:��- SQ• PEET OF Ea(� FLOOR:-_.
<br /> ��P� ��' � �t'�'� a .��RAGE STALLS: A�'T. 3 DET. �
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<br /> l��x��y�,.`ty�� ��fti�� ESTSZ��'-"'_..D CDNSTRIICTIOid VALUAT20N (eYcludi.nc Iandl : S
<br /> ` n }? I hereby apply for a buiJ.ding permit and I acknowledge that the inEormatian
<br /> above is complete snd accurate; that the r•ork will be in confozmance with the
<br /> ordinances and codes of the City and with the State Building Code; that S
<br /> � " understand this is not a permit and work is not to start without a permit; and
<br /> ,� tbat the work will be in accordance with the arproved plan. -
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<br /> A�QLZC�.P7T'S SIGIIATQRE:� t��N�/ ����'J'� DATE:
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