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�. CITY OF ORONO ` BUII�DING PERMIT APPI�IC�TION <br />� +� - .-,� <br /> � a-� Date Received: <br />" Total Fee: $ � � - <br />� Date Approved: ' <br /> '- ' �,� / pG� . . <br />� Entered Bv: Permit�: (Do2 7 / _ . : . <br /> 3 . • _ - . <br />� � ' <br />� gLL II�]gORMATION MIIST BS SUBMITTED II'7 FLTLZ BEFORE PLAN REVIEW WIT�L B$ S2`BRTED <br /> F (See Check-off List Enclosed) __________ <br />? ----------------- <br /> C ��������������������� <br /> ���� ����� _�� <br /> � � p,ppLICANT I5: (circle one) O�ri'NER or CONT_RACTO <br /> F - �n �C9 �l. v'fYi �, zzP: <br /> JOB SITE ADDRBSS. <br /> � (work) <br /> �� �� G � PHONE: (home)y, 7`7"�V zi <br /> �IAME OF OWNER s � <br /> � !I/ fT Y'h'I.f"C—_— � � ZIP: <br /> CITY. v'D�i/'/� <br /> R(ATLING ADDRESS: %�� � <br /> aD� c PHONE: /�� / � <br /> CONTRF�C'rOR: " y� l <br /> j�ATT•ING ADDR.ESS: �II-/�� w Q- i!' ��/u�TY: /Y(D/�— ZIP: <br /> ST�STE LICENSE: � � � � � <br /> PHONE: <br /> ARCHITECT/ENGIN�ERs <br /> CITY: ZIP: <br /> MAIZING ADDRESS: <br /> REGISTRATZON 4 <br /> NAME: <br /> Accessory Structure Move � <br /> TypE OF WORR- New Addition Land Alteration <br /> De�o Re.*nodel/Alteration Renovate <br /> PROPOSED WORR (describe in detail� = <br /> L� .r'1 s� 't��t—� <br /> . � , <br /> STORSES: S4• FEET OF EBCH FLOOR: <br /> NO. OF BEDROOMS: G�iRAGE STAI�LS- ATT. DET. <br /> d � <br /> . /�� / �_ <br /> g,STT?�tA�g.D CONSTRIICTION VALIIATION (eaclndin4 land) : $ � �f <br />' I hereby appl-Y for a buildinq p <br /> ermit and I acknowledge that the information <br />� above is complete and accurate; that the wark will be in conform Code;a that = <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 will be ia accordance with the approved pla.a. _ - . <br />� � <br />� � DATE: "� <br />� APPLICANT'S SIGNATDF�s <br />