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I� � CITY OF ORONO - BIIILDING PE.TL�iIT APPLICATION <br /> 1 �.._ � � � � <br /> Total Fee: $ � Date P.eceived: "o <br /> � <br /> Date P.�proved : �," � ' � 7` <br /> �ntered By: ' � r. -'`1�'-' 'y'4�7h� <br /> , Pe�iit a. <br /> �J•T• INFORMATION MDST BE SIIBMIT'�ED IN FUI,L BEFORE PI�N �I� �I'I' B$ STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------- - <br /> � A.PPLICANT IS: (circl.e one) OWNER o CONTRACTOR �� <br /> JOB SITE ADDRBSS: `�`�`"�� ����9i.L �ct'..�� C-�t��. ZIP: � -�.>j`� � <br /> (work) <br /> NAME OF O WNER• ��1��• � 4-�1bc�� ��� PHONE: (h cme? �1`�� ��.�� <br /> MAIZING ADDRESS: ��O �. �t1..�x��1 PE'll�� _ CITY: �jt-1Cr �-lL�� ZIP: �-�`����� <br /> CONT�2ACTOR_ ��t-V,�STP�> C �ni�.�S`ti"Tz11�.����-�. �� t C PHONE: �j(r�I -- c�'�L g �s <br /> r�zzx� �nxEss: 7�c�¢� 5 ��I�� � cz�: Vv'��ra.�..� �.� zzp: 5���� <br /> STATS LICENSE: Q ������ <br /> hRCHITECT/ENGINEF.R: C�1I�� PHONE: <br /> �ILING ADDRBSS: CITY: ZIP: <br /> N��: RBGISTRATION � <br /> �YPB OF WORR: New Additior� Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : W.00�F� ' "` ' ����---�`� ���� <br /> Mnoo,F«�►� -rn ��uu�a.� �..c��z-- ��$...� �x�a �'�t.r� �� ��� �����i <br /> S'TORIES: � SQ. FEBT OF EACH �LOOR: <br /> NO. O� BSDROOMS: G�GB STALI�S: ATT. � DET. <br /> ESTIMATF.D CONSTRIICTION VALI7ATION (eacluding Iand) : $ � � Q`� <br /> � <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> ��at the work wil 1 be in accordance with the approv ed p lan. • <br /> _ ', � . �j <br /> �.PPI,ICANT'S SIGNAZ'DRE: �-�'� ��-�--�" DATE: � �-� ! � <br />