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' � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ', �� ,: �'T' Z <br /> Total Fee: $ '' � Date Received: S=(g' � <br /> , <br /> �-r� Date Approved: s' ��`� 2 <br /> Entered Sy: ! ��' \� � � <br /> � Permit#: � a ��> ��' <br /> , <br /> �., <br /> ALL INFORMATION MUST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OPINER or CONTRACTOR <br /> JOB SITE ADDR$SS: ��-�� � ��''�lT ���c� �� ZIP: ��.3�� <br /> (work) 9�5�� 3,�Co 7 <br /> N� OF OWNER: �U"G`"1 �G (�C�o� PHONE: (home)^���-Ot7�� <br /> MAILING ADDRESS: (�r �_q ,o CITY: ZIP: <br /> CONTRACTOR: �.� �'.s� p�fSi`> �j PHONE: y�y 3 y�c <br /> � / l <br /> MAILING ADDRESS: 17 ���,2 hd t�v� �� . CITY: q �le ����� ZIP: S`�3�P <br /> STATE LICENSE: # .��G� <br /> ARCHITECT/EN^T'���. PHONE: <br /> MAILING ADDF ZIP= <br /> NAME: <br /> --- �(/a �O�� /`',�,��w <br /> TYPE OF WOR] _ Move <br /> Demo ` ����q r ��,s/�1L �'T� � �N� aration <br /> ��.� <br /> PROPOSED WO �G�` j�' �J <br /> ��5� <br /> STORIES: <br /> NO. OF BED: <br /> ESTIMATED CONSTROCTION VALIIATION (ezcluding land) : $ ,� Uv�� <br /> I hereby apply for a buildinq 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 �pproved plan. <br /> �� i � . <br /> APPI�ICANT'S SIGNATURE: / DATE: .S����/ � <br /> � <br />