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t' � CITY OF ORONO - BIIILDING PERl`�iIT APPI.IC�TION <br /> �j-5 � �= 5 � Date Received: <br /> ' Total Fee: $ - <br /> Date A�Droved: � <br /> Entered Bv: '�"`�L� Pe_^.nit� �' ,�� � � - - - . <br />� - <br />�� N MIIST BS SIIBMITTED II`7 FTTLL BEFORE PLAN REVIL'W WILL B$ SggRTP.D <br />`' AT,T, =27gOgtiATIO <br /> (See Check-off List Enclosed) _____________ <br /> -------�------------ <br /> --------------- <br /> �� �PLI�NT Ig: (circle one) !Oj�7NER or CONT_�ACTOR <br /> � ., <br /> �>> f- ZIPs ' � ' <br /> JOB SSTE ADDRSSS: � �';``�� , , � ���� � #��� � <br /> � (work) <br /> _� �, � � PHONE: (home) � a'� / <br /> NAME OF OWNER: ' ' ' � <br /> , � ; CSTY: ` l � ZIP: - �` <br /> MATLING ADDRESS: ,� I �';1\Lt`� � — <br /> � <br /> PHONE: <br /> CONTRACTOR: <br /> ��,: ZIP: <br /> j�pTT ING ADDRESS: <br /> STATE LIC�.�NSE: � <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CI,I•�: Z IP: <br /> MATI�ING ADDRESS: <br /> REGISTFtATION z <br /> NAME: <br /> Accessory Structure Move � <br /> TyPE OF WORR- New Addition Land Alteration <br /> De�o Re.*nodel/Alteration Renovate <br /> _ , <br /> detail) = � t %�� �� �� ,' -� <br /> PROPOS�D WORK (describe in + �- <br /> STORIES: � SQ. FEET OF EBCH FLOOR= <br /> NO. OF BEDROOMS: <br /> �gp,� gTAT.T,S: ATT. ,� DET. <br /> ��� , <br /> EST�SATF.D CDNSTRIICTION VALIIATION (e-aclud�-nq land) : $ �� ; '� � "\ <br /> r I hereby apply for a building permit and I ackriowledge that the iziformation <br /> above is complete and accurate; that the work will. be in confo�Code;aithathl <br /> ordinances and codes of the City and with the State Building e�it; and <br /> understand this is not a perasit and work is not to start without a p <br /> that the work will be in accordance with the approved plaa. _ <br /> . _ �, <br /> P I - % <br /> F DATE: <br />"- APPI.IC.�IT'S SIGNATURE� <br />