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� � <br /> CITY OF ORONO - BIIIZDING PERMIT APPLICATION <br /> �S', � �; � Date Received: <br /> Total Fee: $ <br /> Date A�nrove�: ' <br /> Entered Bv: �-�`J Fermit�` � /� �Z _ _ <br /> pT.T. INPORMATION MIIST Bg(S�I`'1C�T�D offFLIIistBEFORESeLAN REVIEW_WI7�L_BE_Sg�RTED---- <br /> ---------- <br /> �� �pLI�rJT Ig: (circle one) Ol�7ER or CONTLtACTOR <br /> ZIP: <br /> JOB SITE ADDRBSS: <br /> (work) <br /> � ���_�jC� .�' PHONEs (home)�7��' ��l - <br /> NAME OF OWNER: � <br /> �Z L� s��' ,4��"L CITY: ZIP: <br /> MATLING ADDRESS: � � J�-� �' <br /> ( � �� P$o �' ,�--� -� S S 7 <br /> �� i� <br /> CONTR�CTOR: W • -� <br /> � � , C„'� � zIP: ..� �' <br /> MAILING ADDRESS- � J 7 S � �� �'L�C 3�<� CITY: I <br /> � �, <br /> STATE LIC�lNSE: � �-�'-'� � <br /> PHONE= <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP- <br /> MATLING ADDRESS- <br /> REGISTRATION 4 <br /> NAME: <br /> Accessory Structure Move <br /> TypE pF WORR: New Addition Land Alteration <br /> Demo Re.*nociel/Alteration Renovate <br /> , i <br /> r � / �� �� <br /> PROPoSED WORR (describe in detail) = �� <br /> ��rn �, `:� J <br /> t� �,_- (�- ti <br /> STORIES: SQ. FEET OF EgC$ ��R: <br /> gp. pg BEDROOMS: G�Fi�GE ST�I.I�S s ATT. D ET. <br /> � �=' D �7 <br /> ESTSMATED CONSTRUC'SI�R VALIIATSON (eacluding <br /> land 3 : S �� � <br /> I hereby apply fo= a building p <br /> ermit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conform c dei"� th t e <br /> ordinances an d co des o f t h e C i t y and with the State Buil.ding e�it; and <br /> ua d e r s t a n d this is not a permit and work is not to start wit hou t a p <br /> that the work will be in accordance with the ap o v e d p l a n- . <br /> ;' DAZ'E: �— ��� __ �L <br /> APPI�ICANT'S SIGNATURE: "�r <br />