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� <br /> � � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> To al �ee: $ � " "' � Date Received: `��3��'z- <br /> Date Approved: <br /> En ered By: f� u---z'" <br /> Permit#: ��� 5 � <br /> INFORMATION MDST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII�L BB STARTED <br /> (See Check-off List Enclosed) <br /> -- - ----------------------------�- ---------------------------------------- <br /> TH APPLICANT IS: (circle one) fOWNER or CONTRACTOR <br /> � <br /> JO SITE ADDRBSS: ��:-�' , `- � ': �; �; :�i ` t` ^ ZIP: <br /> r � <br /> (work)� E-��''�:�.'� <br /> .�, ; _ � <br /> N OF OWNER: �":C.s � � - ,s �' � PHONE: (home) <br /> MAI ING ADDRESS: �:..:: . , ! '; CITY: �- ?',.,�, �.�s >' .-� ZIP: , �S� <br /> co c�roR: ���� ����� �c�' Paor�: � ��- �,'!`;.� ``. <br /> MAI ING ADDRESS: ...�:::� rj�--, ,, ., '. , .' ; , . <br /> ��� �. CI TY: ,�-� �^, ��-n ,��� ,� Z I P: --� <br /> ST E B,ICENSE: # <br /> , <br /> � �-, .� <br /> � r / ; j.r► �i� � : ,,PHONE: �� ,�.._ "'' : _ f� <br /> ARC I TECT/ENGINEER: 1-J� n e � �, '�J �` � <br /> MAI ING ADDRESS: �rt���n c.rU�3,t�. 1 s7l�.t.o �•.` CITY: %1(,r� `.i ZIP: <br /> p REGISTRATION # <br /> TYP OF WORR: New .� Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PRO OSED WORR (describe in detail) : ` -<< � � r. j� � 7` � � � " ' <br /> � ` r1 V <br /> STO IE5: � SQ. FEBT OF EACH FLOOR: � 5 a��(�C� �h � � � � Z <br /> NO. OF BEDROOMS: `� GARIIGE STALLS: ATT. DET.� <br /> �' ;= � ,�', <br /> EST MATED CONSTRIICTION VALIIATION (ezcluding land) : $ J�f�, -� <br /> I h reby apply for a building permit and I acknowledge that the information <br /> abo e �.s complete and accurate; that the work will be in conformance with the <br /> ord ' nances and codes of the City and with the State Building Code; that I <br /> und rstand this is not a permit and work is not to start without a permit; and <br /> tha the work will be in accordance with the approved plan. • <br /> !' �.%_.� �" ' / • � <br /> .- �-�%.�-1 f��'.:'- <br /> APP ICANT'S SIGNATURE: �i. • '=r ' ' DATE: � <br />