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; CITY OF ORONO - BIIIZDING PERMIT APPZIC�TION <br /> v � y <br /> e <br /> $ Date Rece?ved: '�/'� Q`� <br />: �/,� �� . <br /> r Tota1 Fee: - - <br />� Date A�proved: ' <br /> Entered Bv: �� Permit� ��Z� - _= <br />� BE Sg�R2'F.D <br />; A7.T• INgOgMATION MIIST BS SUBMITTED IN FITLL BEFORE PI�AN REVSEW WIZS ._ <br />� (See Check-off List Enclosed) ______________ <br /> �gE APPLICANT IS: <br /> (circle one) O��NER o CONTR.ACTOR <br /> r� p��,�,� � ", ZIP: ���4""J� <br /> JOB SITE ADDRBSS: � �C� � I���'"�"' ' �� �O <br /> Q� (work) <br /> ,.� �- <br /> ------= ,,,,,,,r,,, � � � =_ � PHONE- (horcte) <br /> N� OF OWNP.R: J'l._."�r�'"' <br /> . ��� NC�C�''� CI TY: �p 4Y�� _ Z IP: <br /> MATZ,ING ADDRESS. <br /> � ' � � h P$orr�: `l ` 3� — <br /> , ! <br /> CON�CTOR: CITY: �"`"` '� ^`;l �L*3"C,.� ZIP: ���� <br /> MATT.ING A.DDRESS_ <br /> ST�1TE LIG..NSE: � I Q�� <br /> PHONE: �' <br /> ARCHITECT/ENGINEER: �� <br /> CSTY: -""' ZIP: <br /> MATI�SNG ADDRESS: <br /> REGISTRATION � -�-�' <br /> NAME: �� <br /> Accessory Structure Move <br /> �PE og y,;pgg: New Addition Land Alteration <br /> De�o R��ode?/Alteration <br /> Renovate <br /> PROPOSs� WaR-� �describe in <br /> detail) �.� . T,;�rs'� ��C�i�� � �-� ��°»`� — <br /> � � "'�"Sr <br /> STORIES:�_... s4- 2�EET OF EACH FZ'dOR' <br /> � � �� <br /> NO_ OF BEDROOMS:�_ �'��� ST�S' ATT. DET. <br /> ESTIMA�ED CDNSTRIICTION VALIIATION (e�ciudinq <br /> la.nd I : $ �C� � <br /> I hereby apply for a building p <br /> ermit and I acknowledge that the information <br /> above is complete and accurate; that the wa=k wi7-I. be in conform C de;"�ith t = <br /> ordinances and codes o= the City and with the State Buil.ding e�it; and <br /> understand this is not a permit and work is not to start without a p <br />, that the work will be in a�cordance with the approved pla�- _ • ' <br /> ` '' j DATE: <br /> APPLICANT'S SIGNATQRE:- __ <br />