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� <br /> CITY OF ORONO - BIIILDING PER'�iIT APPLIC.ATION <br /> Tc�al r e�: S��G+ �.�� � Date Received: �//� �� �--� <br /> Date P.�vroved : <br /> �ntered By: � ��i� � <br /> Permit Q: � ��� <br /> �I� INFORMATSON MIIST BE SIIBMITT� SN FiTLL BEFORE PL�N REVIEW �� B$ STARTED <br /> (See Check-off_List EncZosed) <br /> ------------------------------------- ---- ---���------------------------ <br /> � APpI,ICANT IS: (circle one) OWNER o CONTRACTO <br /> � ��j�, �.w( ��,�., ��� zzP: `3 5�� �� <br /> JOB SIT'E ADDRSSS: �.% <br /> (work) <br /> � � �j <br /> x� oF owx�z- c��c�� ' U� 1 P$orrE: (h cme) / ) `'( — <br /> 2�.ASLING ADDRESS: �'�'� � �� V 1.�� CITY: ��t i ` a'' ^ ZIP: S 5 �"1� <br /> � � i PHONS s �� -�� iU � <br /> CONTR�ICTOR: � ,., <br /> / � ZIP: � �`` L.� <br /> N.AILING ADDR.ESS:��/�� -� r.� CITY: � � <br /> —r <br /> STATS I�ICENSE: Q <br /> ?1FtCH?TF:�.'�'/ENGI?�TEER: PHONE: <br /> I�,AILING ADDRSSS: CITY: ZIP: <br /> NAME: RBGISTRATION � <br /> TYPE OF WORK: New Addition Accessary Structure Move <br /> Demo Remodel/Alteration� Renovate Land Alteration <br /> Y�� � <br /> PROPOSED WORR (describ in detail) : � ' � � �`� <br /> r� � <br /> ���. � � �� <br /> STORS$S: SQ. F'EBT OF EACH FLOOR: <br /> NO. OF B$DROOMS: GARAGS STAI.ZS: ATT. DET. <br /> ESTIHATED CONSTRIICTION VALIIATION (eacl.ndi.ng Ia.nd) : $ 1-`� n t) i7 �� `' <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 /> o�3inances and codes of the City and with the State Building Code; that T <br /> ur.derstand this is not a permit and work is not to start without a permit; and <br /> t�at the work will be in accordance �th the approved plan. • <br /> f- <br /> APPLICANT'S SIGNATIIRE: <br /> r � DATE: � � , � <br /> � <br /> �� � � <br />