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CITY OF ORONO - BIIZZDING PERMIT A.PPLICATION <br /> . � <br /> Total Fee• $ ��� � �l Date Received: '`f " ��=> ;� �� <br /> � Date Approved: <br /> Entered By: ' �� � �7 n <br /> Permit�: / �/ � <br /> AI.I. INFO�TION MIIST B$ SIIBMITTSD IN FUZI� BEFORE PLAN REVIEW WILL BB STARTED <br /> (See Check-off List EncZosed) <br /> T� APPLICANT IS. (circle one)---OWNER o G8�1TRA 0>-------------------------- <br /> � <br /> � JOB SITE ADDRBSS: � �-�� ��1-4��L�✓"�'V�i�'�" t��=!V� C�C''-;a•v;�1 ZIP: �.• � ��> <br /> ; <br /> (wo rk) j�d '��r ;��a <br /> �� OF OWNER: ' �� � 'r �-*ti/-'-��.. ��1,'l-l-�v'�.-;��. y PHONE: (home) �.5�� " ��✓�� <br /> ��:��.�; <br /> � ��.AILING ADDRESS: �� �7t� �S i 1.�;'f�'�'�7:�1:�' ��, CITY:�)/'��l�t,� ZIP: � ,�3 ��t� <br /> � .�.� � � PHONE: ��� ` ��v��% <br /> � CONT�tACTOR: � 1" ,%f'�� ',��� �i ^''�� <br /> � ��iIZING ADDRESS: G�"�l'l�) 'Z��'�:..=�=-��!9�-� � CITY: �L�.;t�L�l/`�( ZIP: `.7`��K�c, <br /> ; <br /> STATS LICENSE: $ fJ �l-%� <br /> �c$z�c�/Exczx�: ,r ►� ��`.v�,���� � � ,�i� G�=;. pHorrE: 5�t`r�-� �7�U � <br /> ,� ,�,4>� � , '' �� � � <br /> *�zn�c �D�ss: �r3;� ��r�ic:���..i _� �,,�_ cz�: '�L�r'���:�v>� zzP: �S �� <br /> �: y,?�'�,,L,�-�, RSGSSTRATIOH � <br /> TYPE OF WORR: New Addition V Accessory Structure Move <br /> Demo Remcdel/Alteration Renovate Land Alteration <br /> r ,t�t <br /> PROPOSED WORR (describe in detail) : ��� � �,'C � �����`��% ����'-� �T— <br /> �,�L���i-'�i,?�; �7f= " 1���.��,� ��.,E�� <br /> STORIBS:�_ S�2• �T OF EACH FLOOR: � Q <br /> NO. OF BBDROOMS:� GARAGS STI�LLS: ATT. DET. <br /> �'O�'> `,`;. <br /> ESTIMATED CONSTRIICTION VALITATION (e�ccluding Iand) : $ � Z" i — <br /> Z hereby a�ply for a building permit and I acknowledge that the information <br /> above is complete and accnrate; that the wor3c will be in conformance with the <br /> crdinances and codes of the City and with the State Building Code; that Z <br /> understand this is not a permit and work is not to start without a permit; and <br /> tnat the work will be in accordance with the approved plan. . <br /> � '� DATE: `�_��'����; <br /> APPI.ICANT'S SIGNATURE: i �s �- <br />