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` ' CITY OF ORONO - BIIZZDING PERMIT APPLICATION ��
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<br /> Total Fee: $ ,Z-5 �• �� � Date Received:
<br /> Date P.pproved:
<br /> Entered By: t ::��' R � s���
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<br /> Permit n: /r�
<br /> AT.T• INFORMATION MIIST BE SIIBMITTSD IN FULL BEFORE PI�AN REVIEW WII�L B$ ST�,R�ED
<br /> (See Check-off List Enclosed)
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<br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
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<br /> JOB SITE ADDRBSS: � � � � i' `�_�' J=Z�/ � �'� c � ZIP: �`� � .i � �-
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<br /> (work) ��f� 1�i ,�E> �
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<br /> N� OF OWNER: ��� �/� i� l� / ^ � . ��� �:� ��C' t`��'�� PHONE: (home) �'�5 ���i .�r���
<br /> hfATzzx� r��xEss: / ��t � �C ;�-/� �f-�' _ cz�: .�� ,i ����'"�����`�l�P: '':�C��
<br /> i i i �) ��( ����1� PHONS: �'<� l' � �'��
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<br /> CON2'�CTOR: 1t� �� ���G�L� ( i.(� 7 �C�i�/ [ �, . v
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<br /> MAII,ING ADDRESS: l �>-��� !'�'�, '���� _�'���� � CITY: �/��/,�,< 'v��; ,�,�F� ZIP: �����C'/
<br /> STAZ'S LICENSE: tt
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<br /> ARCHITECT�ENGINEER: � �/� >�'� 'L���� �:', ! .r��� PHONE:
<br /> �ILING A.DDF.BSS: CITY: ZIP:
<br /> ;1p��: RBGISTRATION �
<br /> TYPE OF WORR: New Addition v' Accessory Structure Move
<br /> Demo Remodel/Alteration Renovate Land Alteration
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<br /> PROPOSED WORR (describe in detail) :� � �r 1 � � j i
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<br /> STORIES:�_^ _ SQ. FEST OF EACH FLOOR: � �� ! , , . i T
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<br /> NO. OF B$DROOMS: �� GARAG$ ST�LS: ATT. ' ',,.'.' DET.
<br /> �STIHATED CONSTRQCTION VALIIATION (eacluding Iand) : $ �/ �%�-�'� �
<br /> = 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 /> ordinances and codes of the City and with the State Building Code; that I
<br /> understand this is not a permit and work is not to start without a permit; and
<br /> that the work will be in accordance with the approved plan. �
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<br /> APPLICANT'S SIGNATIIRE: /�, L� t,tt� '� iti �" y";'� `'�_=� DATE/�-, - ?
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