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�. <br /> \ I CITY OF ORONO - BIIIZ.DING PER�iIT APPI�IC�TION <br /> ,� <br /> . �, / � � Dat� Rece�ved: <br /> Total Fee: $ � � <br /> Date A�proved: ' <br /> E�tered Bv: /�� Per_*iit�: � � - �- <br /> r .. �Y��� , - <br /> AT.T, INpOgriATION MIIST BS SIIBMITTF�D IN FIII�.L BEFORE PLAN RE�7IEW WILL BE S�`��� <br /> (See Check-off List En �) ------- <br /> ' ----------- <br /> ----^----- --------�------- <br /> (circle one) Ol��� or CONTRACTOR <br /> � APPLICANT IS_ �-- c_ � �� <br /> zIP: � ���(i-t <br /> JOB SITE ADD�SS s I <br /> (work) <br /> PHONE: (horae) <br /> �� OF OWN�: `�' <br /> L � ZIP:C�� <br /> CITY <br /> 2�.ASI,SNG ADDRESS� I ` <br /> PHONE: r�-.�L�\-�I��� <br /> CONTRACI'OR: ��� - �:c--'.- •-- � <br /> CITY�� ��n �.���1 ZIP:� l 1:� , <br /> �AT_T IIIG ADDRESS- � <br /> ST�TE LIC�.•r'''TSE- � � <br /> PHONE= <br /> ARCHITECT/ENG=NEER: <br /> C=2,�,: ZIP_ <br /> MATLING A.DDR.ESS= <br /> REGISTRATION a <br /> NAME: <br /> Accessory Structsre Move � <br /> TYPE OF WOR-K� New Addition Land Alteration� <br /> D�o Re.*nodel/Alteration <br /> Renovate <br /> � ' � � <br /> PROPOS� WORK (describE in detail) : \ <br /> STORIESs�_ S4- FEET OF EBCH �LOOR: <br /> .� ��GE STAT•T,S: ATT. D ET. <br /> NO. OF BEDR�OMS. <br /> ESTIMA�P.D <br /> CDNSTRIICTSaN VALIIATSON �e�c1B�g I�dj : $ `'� � � ��� <br /> ermit and I ac?�nowledge that the information <br /> I hereby appl.y for a building p that T <br /> ove is cflmplete and accurate; that the work will be in confo�C deWith t e <br /> ab and with the State Buil.ding e�it; and <br /> ordinances and codes of the City <br /> understand this is not a permit and work is not to start without a p <br /> that the wor}c w3:11 be in . accardance with the aoproved Pla.�• _ ` <br /> � . _ <br /> .� <br /> DATE: <br /> APP�SC�NT'S SIGrIATURE=_ <br /> � � . _. <br /> �� I 5��� �G,�,�� -�l1 � � � . . . . <br /> �, � . . . ._ . . . . . . . - <br /> .. . . ��j(�[.��, <br />