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n CITY OF ORONO - BIIIZ�UING PERM.IT APPI.ICATION <br /> • ' l,�I `�� Date Received: ��� 9- 9�_ <br /> Total. Fee: $ <br /> Date Approved: <br /> Entered By: � ��i� Pennit�: r���{/ <br /> �L INFORMATION MIIST BS SIIBMITTSD IN F�L B�O� P�N ��I� �I`I' BB START�-,D <br /> (See Check-off List Enclosed? <br /> --------------------------- <br /> --------- <br /> � A.PPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDR$SS: I 'TO S� �'�` ZIP: SS ��� <br /> M (work7 <br /> x� oF owx�x.� o �-- �e� a-.1�' C�s <br /> PHONE: (home) d j2-��1-bQ3r <br /> '� � CI�Y: +1 �--� ZIP: `'j s�S�.o <br /> MATLING ADDRESS:�D <br /> psorr�: (rZ-��(9-D o 3 � <br /> CONTRACTOR: � <br /> MATI,ING ADDRESS: I`�o �..e-� -�r _ CITY:���et �� ZIP: S��'�o <br /> STATS LICENSE: ,� . <br /> p� �.� )NE: <br /> lyRCHI'I�ECT/ENGINEER: _ �.P�1 ��/�/ <br /> MATLING A.DDRSSS: () �� _.�-, ,��.��` Z1P: <br /> C��- <br /> ,c"C, . <br /> H�: <br /> e Move <br /> TYPE OF WORK: New Addition Alteration <br /> Demo Re.*nodel/Alteration <br /> � � ,1�. —(�f�tt�.ln.� <br /> PROPOSF.D WORK (describe in detail) :� � � �O X�`�' nJ"' ' <br /> STORIES: SQ. FEBT OF EACH �OOR: <br /> NO. OF B$DROOMS� O GARAGE STALI�S: ATT.� DET. <br /> �STIMATED CONSTRIICTION VALIIATION (eacluding Iand) : $ �� � � D <br /> : hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance wi��a�hl <br /> ordinances and codes of the City and with the State Building Code; <br /> �,:nderstand this is not a permit and work is not to start without a permit; and <br /> �hat the work wiI 1 be in accord 'th the approved plan. � <br /> DATE: �� . � � �% �, <br /> A�PLICANT`S SIGNATIIRE: i <br /> ��� � , <br />