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CITY OF ORONO - BiJI�ING PER�IIT APPI,IC�TION <br /> � Dat� Rece?ved: �' �� `� � �L <br /> Total. Fe=: $ � <br /> ' Date A�nroved: � <br /> Entered Bv: Per.nit� (D/ �' / - __ <br /> A7•T. INgpgMATION MIIST B$ SUBMITTED IN FIILL BEFORE PI�AN RE�7IEW WZI,I+ BE S�`�RTED <br /> (Se� Chec�C-aff List Encl.osed) <br /> � �pPZIC�NT Ig- (circle one) Ot1►`1ER or CONTq.ACTOR <br /> ; � �.� �� .� /�G�JG� ZIP: S�S�� <br /> JOB SI�E ADDRBSS: G �d �/ � <br /> (work) ��S'�Z�.S <br /> �� �.�-er/C:lv PHONE: (hcrae) �7/-GSz a <br /> NAME OF OWNER= �.4 v'/1� � � <br /> � ✓y,� C 5 ��d i/L-1 <br /> CST`_'- ZIP: <br /> 2�AILING ADDRESS: --�/� � <br /> PHONE- �-�'�� "-cl"O/a - <br /> CONTRACTOR: /JG/�s Tt�-GI��i- <br /> MATT,ING ADDR.ESS: / '3/% 9 z'N'lrE,�ir�csS R-D <br /> CSTY: /�/���c"7"�'�,La ZIP: �S._.�oS <br /> ST��'E I.IC�SE: z <br /> PHONE: <br /> ARCHZTECT/ENGIN�R: <br /> CI�,�,: Z IP: <br /> MAIZ�ING ADDRESS: <br /> REGIS�RATION � <br /> NAME: <br /> Move � <br /> Nea Addition�_ Accessory St�uLandeAlteration <br /> TYPE OP WORR: ` Renovate <br /> D�o R�*nodel/Alteration�_ <br /> PROPoSED WORK (describe in deta:i.1) : ! <br /> GGo �'X�c,���i�- G' �,� O�/c.l.��� <br /> �' %C Y-�- G ✓✓i i �r/� r� <br /> STORSES: SQ. FF•ET OF EBCH FLOOR: <br /> NQ_ pg BEDROOMSs <br /> �gp,� gTALLS: ATT. D ET. <br /> � I.a.nd 1 � $ �s�'10 <br /> ESTZMATED CDNSTRUCTIoN VALI7AT20N (eac�uding <br /> hereb apply for a building permit and I acknaw3.edge that the information <br /> I y - that the work will be in conform Code `n71thathl <br /> above is comolete and accurate, and with the State Building e�it; and <br /> ordinances and codes of the City <br /> understand this is ne i� acc rdaz�ce ith the a�proved pZ� ithout a P <br /> that the work wiZl b . _ <br /> �/f � /,I DA�: � ��; y. <br /> APPI,ICANT'S SIGNATORE: /�G� , / , <br />