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.._ ' CITY OF ORONO - BIIILDING PERMIT A.PPLIGATION <br /> ��, Date Received: <br /> Total. Fee: $ /�r%�' � / <br /> Date A�proved: <br /> �ntered Bv:��''j� permit�: Y=-��>1G; <br /> �L INFORMATION MIIST B$ SDBMITTED IN FULI' B�FORE PL�N REVIEW WIZ.L BB STAR�I� <br /> (See Check-aff List Enclosed) <br /> ------------------ <br /> ---------------------------- <br /> ---------- <br /> �L APPLICANT IS: ( ci�cle cne) OWNE. or CONTRACTOR <br /> JOB SITE ADDRSSS: �� ��'O�� � � ZIP: <br /> �%��lv <br /> {work) �7�f��'-/59 <br /> T �s$ PHoxE: (home} ���--gr�-z <br /> *r� oF owN�x: �offN' <br /> MATI,ING ADDRESS: /S l�Vcl�l..�'!/+� �� S _ CITY: �l�L�O�-SZ� ZIP: ����� <br /> ���� PHONS: <br /> CONTRAC'I'flR: <br /> ?'�A2LING ADDRESS: <br /> CITY: ZIP: <br /> STATS LICENSE: � <br /> ����, PHONE: <br /> :�2CHITECT/ENGINEER: <br /> ?�_AILING ADDRESS: <br /> CITY: ZIP: <br /> RBGISTRATION � <br /> 2IAI�: <br /> �,/ � Move <br /> 'T_'YPE OF w�RR= R�o�/Alterationn Renovate� Str�LandeAlteration <br /> Demo <br /> PROpOSED WORR (describe in detail) : ��-� �-'���D �&�� L����� ���L <br /> STORIES Q• E'� �--��R' <br /> ?�O. OF BEDROOMS: C�RAG� ST�LLS: ATT. DET. <br /> �1p _� <br /> 3STZMATID CONSTRIICTION VALUATION (eacluding land) : $ 7U�Q <br /> = hereby appl.y for a building permit and I acknowl.edge that the infor�atio: <br /> above is complete and accurate; that the work will be in conformance wi�ha�h� <br /> �rdinances and codes of the City and with the State Building Co e�it; anc <br /> ��nderstand this is not a permit and work is not to start without a p <br /> �zat the work wiI 1 be in accordance with the approv ed p lan. . <br /> iPPLICANT'S SIGNAZ'DRE= �-�° <br /> ��� DATE: -��7 9a� <br />