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� - ' <br /> t / <br /> - CITY OF ORONO - BIIII�DING PER�IIT A..pPI�ICATION <br /> Total Fee: $ <br /> �� " Date P.eceived: �>" (�' } �% �Z <br /> Date P.pproved: � <br /> �ntered By: � � <br /> Permit v: ` _���;�--- <br /> J�•T• INFORMATION MIIST Bg SIIBMIT'�ED IN F1TI,� BLF�KE PI,AN REVIEW WII�L B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------- <br /> � AppI,ICANT IS: (circle one) OWNER o CONT.ZtACTOR � <br /> JOB SITE ADDRSSS: 3<v�� 1-���•�•�.s.+a� _ ZIP: <br /> (work) <br /> N�ME OF OWNER: �A� ���,c`�� PHONE: (home) <br /> :�„A.II,ING ADDRESS: 3�� }-��s`�"°'^ ��': �0."X'"�'��-�� ZIP: SS3`� 1 <br /> �S� . �; 3iy <br /> CoxTRAC2'o�z: `�rr� ,-�ti, �. ��•�� '�-��`�• �n �n�- PHoxE: �I�y - i4 ta�\�I <br /> r�zn�c x�DxEss: Wa�o '�_;�.��-.4:.,�:���.. cz�: -('�1'�,..,Y.B._ zzP: :�s�c��t <br /> STATS LIC.ENSE: A o oa sy y � <br /> ARCHITECT/ENGINEER: ma-c•L PHONE: <br /> MATI.ING ADDRBSS: CITY: ZIP: <br /> NAME: RBGISTRATION � <br /> TYPE OF WORR: New Addition Accessory Structure �C Move <br /> Demo Remodel/Al.teration Renovate Land Alteration <br /> PROPOSF.D WORR (describe i.n detaill : �� '� '+- � � �'-��� `�') �`��"'''''' S� °`U'�'� -- <br /> �; <br /> STORIES: SQ. FEST OF EACH FZOOR: —_ <br /> NO. OF B$DROOMS: CARAGS STALLS: ATT. DET. - <br /> ESTIHA�ED CONSTRIICTION VALUATION (eaclndinq Zand� : $ ��d' ''y <br /> � � <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 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 /> taat the work wil.l be in accordance with the approved plan. . • <br /> A.PPLICANT'S SIGNATDFLE DATE: (o-1 -9�-- <br /> v <br />