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. • CITY OF ORONO - BIIIZDING PERMIT APPZICATION <br /> �� Date Received: <br /> Total Fee: S ��� L' � - <br /> Date P.nproved: <br /> � <br /> �ntered By: � Per:nit�: '���J <br /> AI,.L INFORMATION MIIST B$ SDBMITTE:D IN �I' B�FORE PI�N �I� �� BS STAR�'�D <br /> (See Check-oif List Enclosed) <br /> --------------------------- <br /> ---------- <br /> ----------- <br /> � AppLI�T Ig: (circl.e cne) E. or CONTRACmOR <br /> � ZIP: <br /> JOB SITE ADDRBSS: � � ��-�- }-��� <br /> (work) 7c. " 34-3 " <br /> PH�NE: (home) `�'��-� <br /> x� oF owrr�z: �/�T�L-�>N �`'�,U.�?�"`� — <br /> �iA1I,ING ADDRESS: � �J�] � <br /> t21.L �2 cz�: (�2eJ 1'�'v zzP: <br /> � PHON$: <br /> CONTRACTOR: �' r <br /> CITY: ZSP: <br /> MATI,ING ADDRESS: <br /> STAT$ LIC.LNSE: n <br /> ,r PHONE: -. <br /> ARCHITECT/ENGINL�R: � <br /> CIZ'Y: ZIP z <br /> MATZING ADDRSSS: <br /> RBGISTRATION A <br /> �7AME: <br /> Accesso Structure Move <br /> Z*ypg pg y,7pgK: New Addition � � Land Alteration _ <br /> Demo Remodel/Alteration Renovate <br /> - � CL.��i r�.C�l <br /> PROPoSF.D WORK (describe in detail) : �'-SG�n��� . <br /> STORSES:�_ s4• FEST OF EACH �LOOR: �C� � � • l <br /> NO. QF BEDROOMS= G��� STAI.I�S: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALUATION (eacluding Iand3 : $ ' � <br /> _' hereby apply for a building permit and I acknvwledge that the informatio= <br /> above is complete and accurate; that the work wil.l be in conformance w�thath`. <br /> ordinances and codes of the City and with the State Building Co e��it; anc <br /> understand this is not a permit and work is not to start without a p <br /> that the wor3c will be in accordance with the approved plan. . <br /> �r � <br /> DATE s �Z�s� � <br /> APPI�ICAr7T'S SIGNATQRE: <br />