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�J��'�iy� 1�:�� THE C:ITY OF ORONO b12-�73-7357 G�� <br /> � • 'CITY aF ORONO - $OILDING PEYtM2T APPLIC�ITION <br /> Tota1 Fee: $ ; '' '�� �; `' pate Recefved: <br /> , Date Approved : <br /> �ntered ey: _ �- <br /> a �,_ <br /> � Penn�Y.#: Sj�'� =, <br /> ALI� INFORMATIQN MIIST BS St78MITTED ��I F17LL SEFOR� PTaAN RSVTEW WZLL 8� STARTED <br /> (See Gheck-off Li,at Enclosed) <br /> ������rMrrMr������wwl��������r�r....���������.��...-��������.��.������.rw-�.������rw�w�w.���� <br /> 1'HE AP�JaZCANT IS z (CixG�� one) 0«J�R or CONTRACT� <br /> � i�- ? �� <br /> JOB SITE ADDRBSS: ��l/�-J� � ��=�.� � ���-11�7 -'�l�C� xYP: _��--�'� _�,_-' � <br /> -� :� (work? =����;�'�� <br /> NAM$ OF �iNSR: � ������� ��J%Lr/��� ����?��� -�-`� P�ON�: (hom�) ����� ��U, <br /> iKAII.YNG ADDRESS: !/s���i ��/G�/' <rr'' �t.i�� CZTY: �/,�GIsC!? �%/� ZIP: � S i,s � <br /> COI�ITRACTOR i �/I�L �� ��/s /��•� PHONE s ��/ ���D <br /> M1�Ir.xblG ADDRESS: ��`' � �,L' � � c'��� CITY=��/��� ��//�IPS l'� -' '� <br /> STATS LICRNSS: # <br /> ARCHI TBCT/BIdG�31Effit: pgp�s <br /> MAILxNG ADDRSS$s CITY: ZIP: <br /> NAMB; 1-- RS�ISZ�tAT�d'iN {� <br /> TYPE OF 4�ORK: NeW Addition AcCessary 5truc�ure Move <br /> Demo Remodei/Al�eration Renovat� Land Alteratiosl <br /> f ,� <br /> �'ROPQSED WORK (describa ia detail) : � G-- ���i����� /i�C� � �J"�'��� /l'���� <br /> .�' /I � �� <br /> BTORIBS:� SQ. FEET dF EACII FLOOR: <br /> NO. OF BSDROOMS: GARAGE STALLS: A�T. DET. <br /> �� <br /> cy P,. <br /> 1 yl��r �- <br /> $STIMAT�p CQNSTRQC'��ON VALQATTON (exclud3.ug land) : $ /� <br /> 1 hereby apply for a bu�.ld�.ng p�rm�.t and Y acknawledge that ttie in�ormation <br /> abave 3.s compl��e anfl accurate; that �he work wi11 be a�n conformance wi�h the <br /> ardinances and cades of the City and with the Stat� suilding Cade; that z <br /> und�rstand this �� not a permi�. and work is not to start wi�houL a ��m+ + . and <br /> ���-• - -. <br /> that the work will be in acc�rdan�� with th� appraved plan. , <br /> / /� '�� / �' <br /> . � �� ���� <br /> APYLICANT S SIGNATLIR�: ,���� ���� DATEa � <br />