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` �' CITY OF ORONO - BIIILDING PERbLtT A.PPLICATION <br /> Tci�al r^ee: $ �`� -.Z('�% Date Received: <br /> Date Approved: <br /> Entered By: ',�� � <br /> Permit�: ;�-j`j �, <br /> AI,L INFORMATION MIIST BE SIIBMITTSD IN FIILL BEFORE PI,AN REVIEW T.�TSLL B$ STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWN R' or CONTRACTOR <br /> . �� <br /> _.. . <br /> i <br /> ,,..�. :.- fi <br /> JOB SITE ADDR.SSS:�� 7 'i' � �f� F�r-� , y,�j.I ZIP: �--� `> ��f. �i <br /> (work) �'�:=7 U " ��.�'�� <br /> f. + I'C l L�/_5 /�'.� /1 C`"� �f PHONE: (home) �f j " a:�--� <br /> N� OF OWNER:� f Ci i� /C� <br /> -� ; <br /> � .• � ., r r�` , <br /> MATLING AnDx.Ess: /S"�J f �` � �� �ri � c' ,� � czTr:�°%�;'G��C �'� zzp: ��.�:.3 � <br /> CONTRACTOR: PHONE: <br /> MAIZING ADDRBSS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAT�.ING ADDR$SS: CITY: ZIP: <br /> N�: RBGISTRATION A <br /> '�Y�PE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> ) ,� ,� <br /> PROPOSF.D WORR (describe in detail) : � ��- �� �� �� ~ / ( � <br /> ; ' <br /> ' � <br /> �, „�� ��,_ <br /> ' � � <br /> t' �' <br /> . 1�� <br /> STORISS: SQ. FEBT OF EACH FLOOR: <br /> :�0. OF BEDROOMS: GARAGE STAI�LS: ATT. DET. <br /> ' ' 3 <br /> ESTSMATED CONSTRIICTION VALIIATION (eacluding I.and) : $ ��`'�G <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 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 /> that the work will be in accordance with the approved plan. • <br /> . � , '"' �;,,1 '{ , DATE: � � ..��J� <br /> APPLICANT S SIGNATIIRE: � �,,� �� �r �•%� �r;��t:�1`� <br />