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s • CITY OF ORONO - BUILDING PERZ�LIT APPLICATION <br /> Total Fee: $ �� �'� ���� � Date Received: <br /> Date Approved: <br /> Entered By: � � '' `- � <br /> Permit tt: � � (�; <br /> AI,I, INFORMATION MIIST BE SIIBMIZ'�� IN FDLL BEFORE PI.AN REVIEW WII.L B$ STARTED <br /> (See Check-off List Enclosed) <br /> ----------------------------------------------�=_--`'------------------------- <br /> THE A.PPLICANT IS: (circle one) �WNER or CONTRACTOR <br /> JOB SITE ADDRSSS: C �L`� `�J � rv��.` Lt �'+`j,� F� ��V 2� ZIPr <br /> (work)���Z� Z zLZ- <br /> x� oF owx�- � l �--L� �-���. � (=% 1� 'i�' PaorrE: (home)�- 7�' � 0 E' � <br /> MAILING ADDRESS: � 3�S S 1����,L«L ��I�'L-tCITY: �ra�c�,ti c� . ZIP: <br /> CONTRl�CTOR: C,��,- t �U c�T� �J ��--Y�cs L't 'P _ pHorr�: � ��� j J�� Z <br /> MAILING ADDRESS: �c ZC �3 2 O '�' CITY: �(C�`�-t �Lc�.. ZIP: � :�-¢1� <br /> STATS I�ICENSE: � �U� �7 <br /> /Errczx�x: ��4-L� �U i ������ '� �s �d C � PHorrE: � 3 � �-�l J �'6. <br /> MATLING ADDR$SS: 5�� l ��u`j�rti�`rr�N-�J �l<�v`'" czz�: �--t �'L S � zzP: 5 S���� <br /> N�: p�y� �� �ti � R.BGISTRATION � �c1 S�� <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo R:�e�1/Alteration_� Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : I�-�- � �1�t�C.�-�� �n�=�S � " ��'�'��' <br /> Y�`V�-' �� \`'`"V �1��{� �. '�'`�S � _. <br /> STORIES: SQ. FEST OF EACH FLOOR: <br /> YO. OF B$DROOMS: GARAGE STALLS: ATT. DET. <br /> ��� , <br /> �STIMATED CONSTRIICTION VALIIATION (eacluding I.and) : $ ��'� ��'�l �� ���1� � <br /> I 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 /> ordinances and codes of the City and with the State Building Code; that 2 <br /> understand this i5 not a permit and work is not to start without a permit; and <br /> `hat the work will be in accordance with the approved plan. . <br /> C-� ,� - ' <br /> APPLICANT'S SIGNATURE:�����������e,^2'-c-1 -, DATE:� __ �� - ! � � <br />