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_ , '� CITY OF ORONO - BIIIZDING PER�IIT APPI,ICATION <br /> �� �� • Date Received: <br /> Total Fee: $ - <br /> Date Approved: ' <br /> Eatered By: �1�� Permit p: ( �2/ � � _ : <br /> . , <br /> AT•T- IP7gORMp,TION MIIST BS SIIBMITTED IN FIILL BEFORE PI.AN REVIEW WSLL BE SZ`gRT'LD <br /> (See Check-off List Enclosed) ______ <br /> T� �PyICp,Z,TT Ig: (circl.e ane) OS�TNER ar CONTRACTOR <br /> JOB SITE ADDRBSS- <br /> d7/ J���a°� ST ZIP: SS39/ <br /> � (work) <br /> . Jp�'� ��.tf S�a// PHONE: thome) <br /> rT� OF OWNER- - <br /> cITY: D ro n o zIP: S"s3�/ <br /> 1KATZ.ING ADDRESS: � a �� ���D2 5� <br /> PHONE: <br /> CONTRACTOR: �Y�'/ S�-I� <br /> ��: ZIP: <br /> MA�ING ADDRESS: <br /> STATE ZICENSE: u <br /> PHONE: � <br /> ARCHZTECT/ENGINEERs <br /> ��: Z IP: <br /> MAT_T ING ADDRESS: <br /> REGISTRATION a <br /> N�- <br /> Accessory Structure Move � <br /> TYPE OF WORRs New Additian _ Laad Alteration <br /> D�o Remodel/Alteration Renovate <br /> PxoPfls� wox�c (describe i.n detail) : i'�5�-a I 1 n e��.� 5 h��G)�s ��rx o�c o 1� � �e��iN �� <br /> /1 pPafec� . <br /> STORIESs �2 gQ� gEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STAI.ZS: ATT. DET. <br /> � lana) : $ 3000, oa <br /> ESTIM�TED CONSTRIICTION VALIIATION (eaclnding <br /> I hereby apply for a bui].dinq p <br /> ermit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in coaform C de;'� th t = <br /> ordinances and codes of the City and with the State Building e�it; and <br /> understand this is not a permit and work is not to star't without a p <br /> that the work will be in accordance with tlze aPproved plan. _ . <br /> C�v��� DATE: I Q tl am 1� 9 y <br /> B,PBLICI�NT'S SIGNATORE s <br />