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CITY OF ORONO °._��--�„yI DING PERMIT APPI.ICAT�ON <br /> Date Received: <br /> Tota1 Fee: $ <br /> Date A�nroved: � <br /> Entered Bv: Pe�nit� - __ <br /> AT•T• INgORMATION MIIST B$ SIIBMITTF.D IN FIILL BEFORE PLAN RE�7IEW WI� B$ S�`�T� <br /> (see Chec:�-aff List Encl.osed) -------------- <br /> � p,ppLIC�NT I5: ���rcle cne) OS�ER °r CONT_RACTOR <br /> : . ZIP: _�.._ <br /> JOB SSTE ADDRBSS: `� � � <br /> (work) <br /> �'T �n/ �1�� N�N PHONE: (hcrite) �r�n `i��/ - <br /> �AME OF OWN`�: O A� <br /> CIZ"Z: (, 2�N� ZIP: <br /> 2�..ASZ�ING A.DDRESS� I�1y'C �Ga ��0" � <br /> � <br /> • ,---� p$orrE: Ll� - �1'�2 � — <br /> CON�RACTOR. � <br /> � �c cz�: �� c l��i�o zzP: 5S 5 l� <br /> MATZ,ING ADDRESS: %5�`i� ��&'C�__.n�,c r <br /> STATE I.IC�.r'NSE: T / � � t — <br /> PHONE= <br /> ARCHITECT/ENGINEF.R: � � <br /> �/ - CI�•�,z ZIP: <br /> MAZI�ING ADDRESS: � <br /> REGISTRATION 4 <br /> NAME: <br /> riove � <br /> TYPE OF WORK= <br /> New Addition Accessory S`yuLandeAlteration <br /> De�o R�*nodel/Alteration-.-�: Renovate <br /> \ ()/�`� Qr ^�� � 1`f 11��ec s w i�1 <br /> PROPflS� WO� �describe in <br /> detail) = � 1 4� �,�r��'J,ti�T- ' � - <br /> � � '+ ' v • � <br /> �� � N� .F�.,Y-h � � <br /> _. ______ __ <br /> T aF FA FLL30R: _..___ �.� <br /> . SQ. FEE __ . . <br /> STORSES. �--". _ DET. <br /> ���� gTAT,T,s. ATT. — <br /> NO_ OF BEDROOMS: <br /> �--� � , � <br /> ESTS�SATE� CDNSTRIICTION VALIIATSON (���n�g lan'd� W i eQ e that the inf o�ati on <br /> I hereby apply for a building permit and I ackrzo g <br /> �z the <br /> that the work will be in confo�Code;aithat 2 <br /> above is complete and accurate; and with the State Building e�it; and <br /> ordinances and codes of the City <br /> understand this is not a permit and work 1 e approved pZ� ithout a p <br /> that the work wi l l be in accordarsce with t�i _ _ ___. __ :. <br /> �� <br /> �'� DATE:�,. ,�� ��- iyyy <br /> APPLIC�.NT'S SIGNATDR.E s <br /> � <br />