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CITY OF ORONO - BIIIZDING PER�LIT APPLICATION <br /> y � Date Received:��f /��� <br /> Total Fee: S -'- <br /> Date P.��roved: <br /> �n�ered BY� � Permit p: <br /> AT•T• INFORMATION MIIST BS SIIBMIZ"�F.D IN FIILI, BEFORE P?jAN RES7IEW WII�L BS STARZ'.ED <br /> (See Check-af= List Enclosed) : <br /> _ Co�--�.---�--------------------------h- <br /> -------------------------------- <br /> -------- r <br /> �� APPLICANT IS: ( circle cne) OWNER �__N_�_CyORI � <br /> ...� �� <br /> JOB SITE ADDRSSS: � ?7•5� s�''•4'' "'r:'`' � •�c� ZIP: ��, / <br /> (work) _ <br /> � PHONE: (hcme} �7�-i`�`fL. <br /> NAMI: OF O WNER: �-� �� U l c�o--� <br /> ?��TLING ADDRESS: a-�7� S��-�1 �'-'� �� CITY: ��•�.v..�..- ZIP: <br /> . t� ir-���.-�- �.�-- �'-'.T: PHox$: j 38'�C ��}-�f� - <br /> CONTR�CTOR. �"� <br /> . 1 `f-`Iv� L,.�zc��.s��- ;,� CIZ'Y: `�"�-T�-� ZIP: 4,'`� <br /> �AIZI2IG ADDR.ESS_ <br /> STATE LICENSE: � �� 6� <br /> ?uzcaz�c�/Ert�=x�: S�^-�-� <br /> �...1_ L'��- `� PHONE: �3 g't �,�- �` <br /> �.SZING ADDP.ESS: <br /> CITY: ZSP' - <br /> x�M�: RBGISTRATIQN � <br /> TYPE OF WORR: New Addition X Accessory Structure <br /> Move <br /> Demn Re*nodel/Alteration I�enovate Land Alteration <br /> PR0205ID T�7�RK ( <br /> describe in detail) : �'"�`'' � Y��'`'`" '� �G-�J� <br /> STORIES: �l'' SQ. FEST OF EACH FI,OOR: 3�T <br /> h0. OF BEDROOMS:�_ �� STA�LS: ATT. '- � DET. �� <br /> �STIMA2'ED CONSTRIICTION VALIIATION (eacluding Ia.nd) : $ ���'J <br /> � hereby apply for a building permit and I acknowledge that the infor:.tatio: <br /> above is complete and accurate; that the work will be in confors.ance wi��a�hF <br /> crdinances and codes of the City and with the State Building Co ee�it; anc <br /> �:nderstand this is not a per�nit and work is not to start without a F <br /> -��at the wvrk will be in ac ordance with the approved plan. � <br /> - _,., y �' l �p A�: �lY� �S� <br /> �PPL <br /> I CANT'S S I GNATQRE- . � G'`"'� '✓�!i�("�"� D <br />