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� f CITY OF ORONO - BIIZZDING PERbLIT APPLICATION � <br /> r�" �� Date Received: <br /> '�ot�l Fee: $ � � � <br /> Date A��roveC: <br /> , / <br /> �ntered By: � `- I � Perr,tit ,;: � �' � <br /> AT•7. INFORMATION MIIST BS SIIBMIT'�F�D IN FIILI' BEFORE PI,�N REVIEW WILL BB STARTED <br /> ( See Check-off List Enclosed) <br /> -------------------------------- <br /> ---- <br /> � APP�ICANT IS: (circie one) OW"NER or CONTRACTOR <br /> JOB SITE ADDRBSS: " ' '" , � ZIP: <br /> � (wor:c) <br /> . � �C � � � PHONE: (home)�f ` �, <br /> NAML OF OWNF.R: � � ' <br /> . , . �_ CITY: , . � ',' �'` ��_ ZIP: <br /> M�I,ING ADDR.ESS: �.� -' � <br /> CONTRAC`i`OR:��_ �i '- C, PHON$: ���7_3 - � -� Y, � <br /> ?�,SI,ING ADDRESS: `_' �-���-- <br /> CITY: ZIP: <br /> STATS LICpNSE: r <br /> ARCHSTECT/ENGINEER: <br /> PHONE: <br /> �+'fPSLING ADDP.ESS: <br /> CITY: ZIP: <br /> .`��: RBGSSTRATION � <br /> �;� <br /> '*'YPE OF WORRs New Addition Accessory StruLand�Alteratione <br /> Demo Re.*nodel/Alteration Renovate <br /> � . . r�� ��t�� � � �� � i ' � -� �� �J�l�;-- ? � <br /> PROPOSF.D WORR (describe in detail � t � �"'� `� - <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> �O. OF BEDROOMS: G�GS STAI.I�S: ATT. DET. <br /> � ' <br /> _ � O c._. <br /> F$TTMATED CONSZ'RIICT20N VAI�UATION (eaclnding Iand) : $ e <br /> = hereby apply for a building permit and I acknowledge that the infor�atio� <br /> above is complete and accurate; that the work will be in conformance w=`�a�h` <br /> ordinances and codes of the City and with the State Building Co ee�it; anc <br /> ��nderstand this is not a permit and work is not to start without a p <br /> ��at the wor�c will be in accordance with the approved plan. . <br /> �'�` n DAZB: ' Z►� "� 9 os_ <br /> APPLIC1�r7T'S SIGNATDRE:�����"� ��C� <br />