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� � CITY OF ORONO - BUIZDING PER�IT APPZIG�TION <br /> Date Received: <br /> Total Fee: $ <br /> Date A�proved: <br /> Entered BV: Permittt� <br /> pg.MATION MIIST BS SIIBMITTED IN FIILL BEFORE PeI.AN REVI� �I`I' B$ STARTED <br /> AT•T• =NF En c Z o s <br /> (See Check-of� List _____________ <br /> ----------------------- <br /> ---------- <br /> �HE AppI,ICANT IS: ( circle one) O��NER or CONT�ZACTOR ���� l <br /> " S S ��Oti�� �� _ ZIP: <br /> JOB SITE ADDRRSS: ��� (work) L�7.�"=S�l�7 <br /> (� 1 pHpNE: (home) ��7�. �c�,� <br /> NAML OF OWNEI2: �1 /(� ��� �'"') \ C.�� Z IP: S S 3 � <br /> MATLING ADDRESS: �l� S S , �5Y d W`� �� CITY: Y C���) <br /> PHo�: �17�-� ��2-� <br /> coxTx.Ac�rox: � " ��i�c- `� �cJ`"� n ZZP• s�S`�Ct � <br /> �� cz�: C�y�� ��G <br /> MATL=NG ADDRESS: ��� � �� �Y��`� `� U< <br /> STATE LICENSE: � <br /> PHONE: <br /> ARCHSTECT/ENGINEER= <br /> C=�: ZIP: <br /> Mp.IZING ADDR.ESS: <br /> R.EGISTRATION � <br /> NAME: <br /> Accessory Structure Move <br /> TYPE OF WORR: New Addition Land Alteration <br /> Demo Remodel/Alteration <br /> Renovate <br /> PROPOSED WORR (describe in detail) s <br /> � r�0 C�� �rU t�S � <br /> STORIES:___L___ S4- FEET OF E.ACS FZOOR: C� <br /> NO. OF BEDROOMS: GARAGE STI�I,S: ATT. DET. <br /> . � Q <br /> ESTIMA�ED CONSTRIICTSON VALIIATION ��cluding I�d3 : $ <br /> 1 for a buil.ding permit and I acknowledge that the informatic� <br /> I hereby app Y that the work wil. l be in conformance Wlthath. <br /> above is complete and accurate; and with the State Buil.ding Code; <br /> ordinances and codes of the City y ermit; an; <br /> understand this is not a permit and work is not to star� without a p <br /> that the work will be in accordance with the approved plan. <br /> DATE: � �^ � <br /> APPLICANT'S SIGNATQRE: � ' �'�- <br /> _ '� <br />