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� <br /> # ' CITY OF ORONO - BUILDZNG PERMIT APPLIGATION <br /> `�o al Fee: $ ��� � �' � Date Received: ��/ {`'>�` � <br /> .�� Date Approved: <br /> Entered By: u ��7L.y <br /> Permit,r: <br /> AT•T• INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILI, BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: ��2-� J����V���G � , ��CCC�SI�YZIP: ��331 <br /> � (work) �J� l.y►G1 L`� <br /> I NAME OF OWNER: Yl�"l��� �r IZ(�l�y tc,a r��'�,k-._ PHONE: (home) �r1 1 ��-1� 1 <br /> MAII�ING ADDRESS: Z-1Z� ��'��IJ�W� t�c��. CITY: �Y.C�,�SIG� ZIP: �5�J�1 <br /> CONTRACTOR: �W ,11��'� S�-, � C:�,��-��-�.�f-S P$orrE: � �^1 I ��-1�1 � <br /> MAILING ADDRESS: ��Z`� ����`�-1✓��X�� � CITY: �-�.C('-,��✓ ZIP:��jl <br /> STATE LICENSE: � <br /> A,RCHITECT/�NGINEER:��i 5.�+�w�- EQ�r��>`' ��� �a�'f'� PHONE: 2k�(o Fj2�� - �Z� <br /> � l, �S o CITY: <=s �.1 ZIP: 5�/�� <br /> MAILING ADDRESS:� y f( '''-� �� Q,,,4; vw� <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition Y Accessory Structure biove <br /> Demo Remodel/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �)G �,% ca.C�•,���•1 C�v�C`J"- Y�.�c7��'t�-� <br /> t-- � <br /> 1 ��'� z,� �.�.-V. e.d;.o �. <br /> STORIES: Z_ SQ. FEBT OF EACH FLOOR: ��,��,�,�;�-,0-1 DIv�S �Z�✓ c����-G��'�'�'4 <br /> ` �-�� — <br /> 10. OF BEDROOMS: GARAGE STALI,S: ATT. DET. <br /> ;STIMATED CONSTRIICTION VALIIATION (egcluding land) : $ S� 0�(� � ���UI�U <br /> hereby apply for a building permit and I acknowledge that the information <br /> bove is complete and accurate; that the work will be in conformance with the <br /> rdinances and codes of the City and with the State Building Cade; that I <br /> nderstand this is not a permit and work is not to start without a permit; and <br /> zat the work will be in accordance with the approved plan. • <br /> 'PLICANT'S SIGNATDRE: �j�����/�`�'� DATE: � ` I /- / � <br /> � <br />