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� . ' CITY OF ORONO - BQILDING PER�iIT APPI.ICATION <br /> �/ j�� � Date Received: <br /> Total Fee: $ `� - <br /> Date A�nroved: � <br /> Entered Bv: Per_nit� ' � J - __ - <br /> AT•T• INgOR.MATION MIIST BS SUHMITTED IN FIILL BEFORE PLAN REVIEW WZLI� BE Sg�� <br /> (See Check-off List Enclosed? __________ <br /> -------- <br /> �� gppI,ICANT IS: �circle one) O<<7NER or CONT.�ACTOR <br /> JOB SITE ADDRSSS: Z � S -fG�L �NQC-2 �-� <br /> ZIP: � S ��l I <br /> (work) <br /> ��-v c�, �n � -�, PHONE: (hame) � 7��.�/S U <br /> Nr�: OF OWN�R: � C � <br /> �Q - L c, zzP: SS 3 � ( <br /> MATI,ING ADDRESS: 2- r � (-4�� /�!L t�� CITY: �('�a�= <br /> ��.�� �C� ��,�,C�,� �,��.% <br /> PHoxE: �3 3 _3�z � - <br /> CONTRACTOR: �- <br /> MAT7•ING ADDRESS� <br /> 1 ��� �� �:��- ��i, S ��rrr� cs�: f�1�rD� I�iL�� zzP: ; S ��13 <br /> STATE I,IC.�.aNSE: 7 �-� J� � <br /> PHONE: <br /> ARCHZTECT/ENGINEER: <br /> C=�,�,: ZIP: <br /> MATZING ADDRESS: <br /> R.EGISTRATION � <br /> NAME: <br /> Accessory Structure Move <br /> �PE pg �ypgg: New Addition Land Alteration <br /> De�o Re.*node?/Alteration Renovate <br /> PROPOSLD WORK (describe in detail) : <br /> STORSES: SQ. FEET OF EBCH ��R= <br /> NO. OF BEDROOMS: <br /> �,�g�� STAT•T,S: ATT. DET. <br /> ESTZMA�L'D CDNSTRIICTIaN VALIIATION (excludinq <br /> land) : S <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformaCn deW th �he <br /> ordinances and codes of the City and with the State Building e�it; and <br /> understand this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the a�proved pl.an. - <br /> ���,�,q ��„,,�,,� DATE: �� <br /> �— �/�- , 5��. <br /> APPZIC�'�NT'S SIG2IATDRE: vyf' /`'`—�-�--- <br />