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�`'� � CITY OF ORONO - BIIILDING PERI�LIT APPLICATION <br /> � � , � � t� c � Date Received: <br /> Total Fee: $ ����'" --� � <br /> Date P_pproved: �' � � � <br /> �" '� � � <br /> �ntered By: � Permit A: %�`� J <br /> AI.T. INFORM�iTION MIIST BE SDBMITTED IN FU�I' B��� P�N �VI� ��'�' B$ STARTED <br /> (See Check-a=f List Enclosed) <br /> -------------------�--___—___—__ <br /> ---�— T m <br /> TgE A.PpI,IC�'�NT IS: (circle cne ) OWNER r CON_RAC�OR � <br /> �� <br /> ''1 '�l i._ /�' n �, �� � � '� .;�i> �,�� Z I P: � � �� � <br /> JOB SITE ADDRSSS: ��� ` / <br /> (work7 '� ��- �= ��=�� <br /> ����� �� � � � � t''� PHONE: (home) � � � ' �"��= l �� <br /> NAME OF OWNER: � , �� F ` _- <br /> �, ����. � <br /> '-' '� Jl � n ' rc:..4;_ CI TY: �/��% �1��'C`/'� Z IP:_'�,� t��,_,( <br /> htATLING A.DDRESS: �� >.� ti C�-``�C�� �-_° <br /> PHONE: <br /> CONTRACTOR= <br /> i�_AIZING ADDRESS: <br /> CITY: ZIP: <br /> STATS LICENSE: � <br /> - � PHONE: � <br /> ARCHITECT/ENGINEER: � � <br /> � CITY: ZIP: . <br /> MATLING ADDRSSS: � ' <br /> RBGISTRATION u <br /> NAME: <br /> TYPE OF WORR: New <br /> Additian� Accessory Structure Move <br /> Remodel/Alteration Renovate Land Alteration <br /> Demo — <br /> PROPOSED WORK (describe in detail) : 4�''� /�- � � <br /> .�_ SQ. FEET OF EACH �OOR: � � <br /> STORS$S. � <br /> NO. OF BEDROOMS"� ��� ST�I�S: ATT. DET. <br /> �,,r <br /> (?�C� <br /> ESTIHATED CONSTRIICTION VALIIATION (eacluding Iand) r $����_____---- <br /> = hereby apply for a bui7.ding permit and I ac�nowledge that the inforrtatic <br /> above is complete and accurate; that the work wi11 be in conformance wi�h �r <br /> ordinances and codes of the City and with the State Building Co ee�it; an <br /> understand this is not a per•nit and work is not to start without a p <br /> that the work wi ll be in accordance with the approved plan. . <br /> ,. �.� � �a , � . <br /> i, , DATE: <br /> APPI�ICAr7T`S SIGNATIIRE: � ' �� . <br />