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CSTY OP ORONO - BUIZ�DING PERMIT APPZ�IC�TION <br />' . Dat� Received: <br /> F, <br /> � Total Fee: $ • > . <br /> Date A�proved: <br />� <br /> Ente=ed Bv: , Per�it�: " -__ - <br /> . . . . ,�. <br />'a gt7yl� BEFORE PLAN RE�7IEW WI�Z BS SZ�BRTED , <br />` INgpRMATION MIIST BS SIIBI"SI�� � • Enclosed) <br /> AT�T• (See Check-af_ Lzst <br />. g� APPLICANT IS=--�circl.e one)---at�ER or CONT_RACTOR <br /> ZIP: <br /> JOB SI� �D�SS: . (work) <br /> PHONE: (home) <br /> g� OF OWNER= ZIP: <br /> CITY: <br /> HASZ�ING ADDRESS: <br /> PHONEs <br /> CONTR�CTOR: Z�p: <br /> CITY: <br /> �=IIG ADDRESS: <br /> ST�Z'E LICENSE: � <br /> PHONE: <br /> ARCHZTECT/ENGINEF.Rs ZIP: <br /> CITY: <br /> MAZI.ING ADDRESS: <br /> gEGISTR�TION 4 <br /> NAME: <br /> Addition Accessory Struc�sr= _ Mave �_ <br /> �PE �g y�pgg; New — Renovate__ Land Alteration _ <br /> D�o ge.'nodel/Alteration _ <br /> PROPOS� WORK (describe in detail� = <br /> STORSES: S4- FE:ET aF EB.CS FZ�OOR: <br /> ATT. DET. _ <br /> r7p� pg BEDROOMS: <br /> �'�g�,GE STALI�S= — <br /> ' land) : S <br /> ESTIMA�E� C�NS�II�=�N ��'IIATI�N ��clnding e that the inf ormati on <br /> fer a buildinq peS�it and I ackaowledg <br /> I hereby aPPZY that the wor�c w3-1-1 be ia conform C dew hath= <br /> abvve is complete and accurate; and with the State Building e�it; and <br /> ordinances . and codes of the City <br /> understand this is not a permit and work is not to start withou a P <br /> that the wvrk will be ia accordaace with t�e aPProved plan.___ _ . -_ . ' <br /> � DATEs <br /> � APPL=CANT'S SI6N�iTURE= ,.. <br />