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�' CITY OF ORONO - BIIILDING PERMIT APPLICATION <br /> �� �:' ' Date Received: ! � � '� �� <br /> Total Fee: $ t � > <br /> Date P.pproved: ,!c _�� 9� <br /> � <br /> � <br /> Entered By: � Permit Q: 7��'4� <br /> r�L INFORMATION MIIST B$ SIIBMIT'�ED IN FUI�L BEFORE P?�N REVIEW W�I`I' BB STARTE� <br /> (See Check-off List Enclosed) _________________ <br /> ------------------------- - <br /> i,.� p,ppLI�7T Ig: ( c_rcle cne) OWNER r CONTRAC'"OR <br /> � ZIP: ���f� <br /> JOB SITE ADDRSSS: 1�"7 � -7 <br /> � ��(��1� (wark 7 �72=��'�' / <br /> � � a PHONE: (home) �t�]� r� � � C.� <br /> NAME OF OWNER: ) <br /> MATZ,I <br /> NG ADDRESS:���� (` I CITY: Q(1'"71'l� ZIP: �7- �� <br /> (�' PHONE: <br /> CONTRI�CTOR: ��t <br /> MAILING ADDRESS: <br /> CITY: ZIP: <br /> STATS LICENSE: tt <br /> PHONE: <br /> ARCHIT:�CT/FNGINEER: <br /> CITY: ���: <br /> MATI,ING ADDRRSS: <br /> RBGISTRATION A <br /> NAML: <br /> TYPE OF WORR: New <br /> Addition Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> L, f l�5 i,t.�Gt, <br /> PROPOSED WORR (describe in detail) : �� �1 i nC� '��- �" r '_i l <br /> � ,� � �� �X-��IWS <br /> �i'1�� � � .� .���" y x C� r 1 i�'t'� <br /> STORIBS: S4• FEBT OF EACH FZOOR: <br /> NO. OF BSDFtOOMS= GARI�GS ST�S: ATT. � DET. <br /> ESTIMA�E� CONSTRIICTION VALUATION (eacluding iand) : $ � � �� <br /> � hereby apply for a building permit and I ac?cnowl.edge that the informatic <br /> above is complete and of�thet Cit haandhw th the iStatelBuild ng Code Withath <br /> ordinances and codes Y ermit; an <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the approved plan. . <br /> ,` DATE: � �� /���'"1� <br /> APPZICAr7T'S SIGNAT'DRE: ', <br />