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�R �''' CITY OF ORONO - BDII,DI.,NG PERMIT APPI,ICATION <br /> Total Fee: $ � � ` � ` Date Received: <br /> Date P.pproved: <br /> Entered By: � � :�- :.�� Permit Q: j�% '�� �.� :, _ <br /> ALL INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PI,AN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: �-� ! D �c� C�F��/L-�.J�c�o `'� '�1� . ZIP: <br /> (work) �y�" g�U O <br /> NAMI: OF OWNER: 1`O T_�;����E e � PHONE: (home) <br /> x(ATI�ING ADDR.ESS: 7 � 1 U �i� caA/Z (�E�o� CITY:1')L� C7 t�U ZIP: <br /> CONTRACTOR: � A--�`,20 �,�U c���F��-l.� C f�;I�'�,� PHON$: -/Z�- 7 S � / <br /> r�zzrrc ��x�ss: ��o /i�t�c��'i/�y �vE,�,cJ.cz�:�l��1� zzP: �5��.3 <br /> STATE LICENSE: � �{fJ i{Z <br /> > <br /> ARCHITECT�ENGINE��Nl 1 /Yl �-�7��t//�U�-���.) �iJ s i- PHONE: ��`�� �'7 `� <br /> MAILING ADDRSSS: ���J /ic/l�v�i/L`�l ��C ,br..,� CITY: {�il t ZIP: �S 3 v � <br /> N�: RSGISTRATION A <br /> TYPE OF WORR: New� Addition Accessory Structure Move <br /> Demo Remo el/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : /��� � ,-��c�- �U x r v' i� r[L>► ►J , -�+�Z_ov�� <br /> YOE� Qc�1+� M � <br /> --� <br /> STORIES: t SQ. FEBT OF EACH FLOOR: �� - <br /> �O. OF BSDROOMS: GARAGE STAI.LS: ATT. DET. <br /> �STIHATED CONSTRIICTION VALIIATION (eacluding Ia.nd) : $ �� �v f <br /> I hereby apply for a building permit and 2 acknowZedge that the information <br /> above is complete and accurate; that the wor3c will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> �' , <br /> ; �' � i <br /> APPLICANT'S SIGNATURE�/� / �1G� DATE: � 9 �I5 <br /> _ / <br />