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CITY OF ORONO - BIIIZDING PE�IT APPLICATION <br /> ' Date Received: ��- � � `�,� <br /> Total Fee: S -�,�`..�/ `�� <br /> Date P.pproved: <br /> i i< . %- <br /> Entered By: ;�'�� - Permit�: /./ �--� <br /> AT•T• INFORMATION MIIST BE SIIBMIT'�� IN FIILI� B�FORE PI�N RE�7IEW W�� BS ST�RTF-D <br /> ( See Check-oif List Encl.osed) <br /> ------------------------- <br /> -------m <br /> � p1ppLI�T Ig: (circle cne) OWNE or CONTRAC_OR � <br /> � -� / � �j� ZIP: � � <br /> JOB SITE ADDRBSS: �C�v� �C� <br /> (work) ������5� <br /> vL PHONE: (home) �l-7y <br /> N�ME OF OWNER: <br /> MATLING ADDRESS:p�Q�l7 �I�SC� �T Y~-� CITY: ��y?�'� ZIP: �b�9/ <br /> � /'L . PHONE: _C�—�ICvl1 <br /> CONTRACT�OR: <br /> CITY: ZIP: <br /> MATI�ING ADDRESS: <br /> STATS I.ICENSE: ,� <br /> PHONE: <br /> ARCHITECT/ENGINE�R: <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> RBGISTRATION Q <br /> NAME: <br /> Addition Accessory Structure Move <br /> TYPE OF WORR: New Renovate_�_ Land Alteration <br /> Demo R�*nodel/Alteration <br /> PROPOSF.D WORR (describe in detail) : ���L4-2 � � "' <br /> STORISS: S4- F�T OF EACH FI.dOR= <br /> NO. OF BEDROOMS" �A�� STALI,S: Amm. DET. <br /> � ; �, c;�. <br /> ESTSMA�E� CONSTRIICTION VALIIATION (eacluding Ia.nd) : $ � " � ��� <br /> = hereby apply for a buil.ding permit and I acknowledge that the informatio <br /> above is complete and accurate; that the work will be in conformance wi��a�h <br /> ordinances and codes of the City and with the State Building Co eS�it; an <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in a cordance with the approved plan. . <br /> , �� 9--�� <br /> � <br /> DATE: <br /> APPLICAP7T`S SIGNATDRE: <br />