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r <br /> � CITY OF ORONO - BIIILDING PER�LIT APPLIC�TSON <br /> g <br />� ` ,S� �� Date Received: <br /> Total Fee: $ � <br />� <br /> Date A�proved: � <br /> Entered Bv: ���-t' Permit�: (OJ � � - _: <br />� - - <br />� pg,MATION MIIST BS SUBMITTED IN FDLL BEFORE PLAN RE�7IEW �'1u�I+ BE Sg�R�F.17 <br />� �'Z � (See Check-off List Enclosed) <br />� ----------- <br /> ���PL=C�T Ig: (circle one) OLr7NER r CONT.QACTOR <br />� ' ZIP: �._�_ � �> � <br /> d/.l F . ,. �� .���� <br /> Jos sz� AnD�ss: g �� �C� �r �� o -�7G - �� �7 <br /> (wor}c) <br /> � �n�_� i -1- i�i� � i'Yl�� n vt PHONE: (home) � 7/ �a 5�7 <br /> ri�ME OF OWNER= ` <br /> � CITY: J��.%Q �� �r cL ZIP: -s_'� 3 `1�_ <br /> MATZ,ING AD)R.ESS: �5L� U c u c_ <br /> PHONE� <br /> CONTRACTOR: <br /> C=�: Z IP: <br /> MATT•ING ADDRESS: <br /> STA�E :LICENSE: � <br /> PHONE= <br /> ARCHITECT/ENGINEER: <br /> CITY: ZZP: <br /> MATI.ING ADDRESS: <br /> R.EGISTRATION z <br /> NAME: <br /> Additian Accessory <br /> Structure Move <br /> �E �g wpRg: New Renovate Land Alteration <br /> D�o Re.*nodel/Alteration <br /> r �C � x �'S �� , SC; /' e � <br /> PROPoS� WORK (describe in detail) : �' ` <br /> �, �c� �o <br /> 3 S �tt s�;.. r c_ <br /> STORIES: S4• FEET OF EB.C� FLOORs <br /> NO- OF BEDROOMS: <br /> G�RAGE STA7,T.g. ATT. DET. <br /> Ia.nd 1 : $ � G' D L> <br /> ESTIMA�E� CDNS2'FZIICTION VALIIATSON ���lud�g oW i eage that the inf ormation <br /> I hereby apply for a building permit and I ackn <br /> that the work will be in cflnfo�Code;�1thathe <br />� above is complete and accurate; and with the State Building 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 work will be ia accordance with the approved pZ�- _ • <br />� � DATE s �0. <br /> r � , � ,,�� > �z��', <br />.. APPLIC�NT'S SIGNATDRE: <br /> `, . <br />