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CITY OF ORONO - BIIILDING PERrLIT APPLIC�TION <br /> ^vt�I r ep: $ <l �' �(�� Date Received: <br /> Date P.��roved: <br /> ��tered By: ' l` � . <br /> Pe�it� �`�-'�z <br /> � <br /> A�L INFORMATION MIIST BS SIIBMITZ'�D IN FIJI�L BEFORE PLAN REVIEW WII.L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------- <br /> � p,ppyl�� IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRBSS: l��S u`�'�� `�V"��- ZIP: <br /> (work) <br /> �7AME OF OWNER: ������S'��A PHONE: (home) <br /> :iA.ILING ADDRESS: `d�J ����� `'�"� CSTY: O��.'C� ZIP: <br /> CONTF�CTOR: Q�'�-' ��ZC��.P�� PHONE: ""�L (p '" Ccj�,fl�_ <br /> �dAII,ING ADDRESS:_y�_�� � � --�� CITY: Q�.Q ZIP: � <br /> STAT'S LICENSE s � :7 up.fl <br /> .�caz�cm/Exczx�: n�1� PsorrE: �7 - �� <br /> '.KASL2NG ADDRBSS: ��2�� �� V �z-- CITY: ZIP: <br /> N�: � RBGISTRATION a <br /> TYPE OF WORR: New �/ Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> �ROPOSED WORK (describe i.n detail) : �'�x L�� ��-�-� - <br /> TORIES: SQ. FEBT OF EACH FLOOR: <br /> <'�0. OF B$DROOMS: C�RAGS STALI�S: ATT. DET. <br /> o� ' <br /> �ST�TED CONSTRIICTION VALIIATION (eacluding land) : $ �� <br /> � hereby apply for a building permit and I acknowledge that the information <br /> ;bove is complete and accurate; that the work wi11. be in conformance with th� <br /> :,rdinances and codes of the City and with the State Building Code; that I <br /> :nderstand this is not a permit and work is not to start without a permit; and <br /> =�at the work will be in ordance with the approved plan. . <br /> PPLICANT'S SIGNATUFi�: DATEs � `�� 7'� <br />