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CITY OF ORONO - BQII,DINV��:�=i2T APPI,IC�TION <br /> 4� 5 �, . Date Received: <br /> Total. Fee: S � � � - <br /> Date A��roved: ' <br /> Entered Bv: ���1�,� - Per_nit�: �� ��� � � _ __ <br /> TION MIIST BS SIIBMITTF.D IN FUL.L B�a� P�N �v=� �� BE S�`�T� <br /> AT.T• INP�RMA (Se� Check-aff List Enclosed) <br /> TgE APPLIC�NT I5: (circle one)---aS�E� or CONTRACTOR r <br /> ; -� r� �� �D�. vr�,� � Z=P: ��.�w � / <br /> ; � <br /> JOB SITE A�DRSSS: <br /> (work) C�� � `��� <br /> . ��L� (�� � !� � ,' �� � �� P30NE: (home} "I�U� `T.�� � <br /> NA� OF OWN�- _ � <br /> � � r� ,.� -� l�-7 �z�:�1�'C�(S�a� ZZP: ���.� I. <br /> 2�AIZ�SNG ADDRESS� U�� �_ <br /> � /� PHONE: <br /> CONTRACTOR: <br /> C=�: Z IP: <br /> MA-LZ�ING ADDRESS: <br /> STAZ'E LIC�.�NSE: � <br /> l.���� P$�NE_ <br /> ARCHITECT/�GINEER: <br /> CITY: ZIP_ <br /> MAIZING ADDRESSs <br /> REGISTRATION Q <br /> NAME: <br /> Move � <br /> New Addition Accessory StruLandeAlteration <br /> TyPE OF W�RKs Renovate�_ <br /> D�o Re.'nodei/Alteration <br /> PROPOSi� WORK (describe in detail) = <br /> ��( � ' � �� ! l�c ` <br /> STOR=ESs�_ S4- ��T OF EBCB FLOOR: <br /> �Rp,� gTAT.T,S: ATT. DET. <br /> NO. OF BEDROOMS: � <br /> � la.na 1 : S i V l.�(� � �� <br /> ESTIMATED CANST�tIICTION VALUAT20N (eaclndinq <br /> ermit and I acknowled9e that the info�ation <br /> I hereby aoply for a building pthat the work will be in conformance wi�h �he <br /> above is complete and accurate; Code; <br /> ordinances and codes of the City <br /> and with the State Building e�it; and <br /> understand this is not a pez�nit and work is not to start without a P <br /> that the wvrk will be in accordance with the approved pZ�. . ' C� <br /> y '/ � I'�7�� DATE s � � � � <br /> I �{/W !� �-�r <br /> APPI.ICANT'S SSGNATUREs �C <br />