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� • � ''' CITY OF ORONO - BIIILDING PER�i1T APPLIC�TION <br /> � Dat� Received: <br />� Total Fee: S - <br />; Date Acproved: ' <br /> red Bv: Permit� i��`�3�� <br /> Ente_ - _= <br /> AT.T• INPORMATION MIIST BSt S� Chec�of FIIiStBEFORESeLAN REVIEW WI7�I,-BE-S�RTED---- <br /> ---------------- <br /> ---------- ` <br /> --------------------------- ��a. <br /> �rTl'�1ER or CONT�ACTOR <br /> �� A.PPLICANT I5: (circle one) I <br /> ' x�o���� rJ i71r� ZIP: � ��V`� <br /> _ L� ,.��, <br /> JOB SITE ADDRBSS: � <br /> (work) <br /> �-- \f�� �'2�:. �So,J PHONEs (home) �-1��-`{�'S `� <br /> NAME OF OWNER: - - <br /> ^ CSTY: (`nc�v �1 � ZIP: �� ��'`� <br /> MATLING A.DDRESS: �(��-' V l-`�'"^s� ���,'''`�`� <br /> PHONE: <br /> CON�C'rOK= <br /> C=�: ZIP: <br /> T•(ATT ING ADDRESS: <br /> STATE I.IC._.�NSE: � <br /> PHONE: <br /> ARCHITECT/ENGIN�ERs <br /> CSTY: ZIP: <br /> MATI,ING A.DDRESS: <br /> R.EGISTRATION ? <br /> NAME: <br /> Accessory Struc�sre Move <br /> T'YPE OF WORR- New Addition Land Alterat�on <br /> Demo R�*node�/alteration Renova�.e�_ <br /> ,, � � � �, ;�`� \��� ��-�� '�� - �CG <br /> PROPOSLD WORK (describe in detail) -�_ <br /> � � <br /> STORSES� � SQ. EFEET OF E�C.H F��R= <br /> NO. OF BEDROOMS: �.5 G?�RAGE STAI.ZS: ATT. �� DET. <br /> �-,_z__ <br /> ?c)� _ <br /> ESTIMA�ED CDNSTRIICTSON VALUATION (e.aclnding I�d) : $ � <br /> I hereby aoplY for a buil.ding permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conform coae W th the <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 wil.l be ia accordance with the approved pla.n. _ - <br /> � �(_�., c� <br /> , �. DATE s /" I•G - 1 � <br /> APPI�IC1'�NT'S SIGNA?'URE z �---� --_ <br />