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`� CITY OF ORONO - BIIILDING PERMIT A.PPLICATION <br /> To'cal Fee: $ /l,iJ C`�� Date Received: <br /> ' Date Approved: <br /> Entered By: ���,. permit�: (�/ y' <br /> AI�I� INFORMATION MIIST B$ SIIBMITTED IN FIILL BEFORE PLAN REVIEW WII,L BB STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------- F-- ---------------------------------------- <br /> THE APPLICANT IS: (circle one) ( OWNER or CONTRACTOR <br /> ao$ sz� ��x$ss: lll S �'�'��-��J �;/� _S . zzp: 553�1� <br /> (work) Sy�- yZZ7 <br /> N� oF owx�z: �v�a.f�� l�. �'�uC��"� l�a��;n �L� ��n�Tti�e�/ PaorrE: (home) ti�� -���y <br /> i�iAILING ADDRESS:�II� �1z,��t`/ ;�f1 �, _ CITY: Ci'�c'tii? If;L� ZIP: `� s���7 / <br /> CONTRACTOR: �l`�r?c_? ?'Srl�t=�� PHONS: �-{��� '� �I�{ � <br /> MATzzxc ��x$ss: l5���.� v1���C� �� �`o���u cz�: l°�l�i�,l/� zzP: �5��o <br /> ��� <br /> STATS LICENSE: $ <br /> ARCHITECT�ENGZNEER: Ifi L_�(7� ' ,G9�LI �� `c,�c� /': ' �JE�' S PHONE: �7?� � ���I7 <br /> MAILING ADDRBSS: i�`��� /1F-�,vrL J ��_ �� ;:�•�/_ CITY: /�1C��:il�" ZIP: ���y� <br /> H�: R.BGISTRATION � <br /> TYPE OF WORR: New ;/ Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ✓ ��G�J �} �L� „t� �C �L � /a��� ��t�i���? <br /> �� <br /> .�1.�I�'�N� ,(k="7.U;-%-�'�.� 7'/�,, �U,,;� � �c Si�'-�T <br /> ;:�TORSES: I SQ. FE$T OF EACH FI,OOR: .�`� ` c,� � ')c; ' O <br /> ?,'O. OF B�DROOMS: GARAGB STAI.I,S: ATT. DET. � <br /> �?STIMATED CONSTRIICTION VALIIATION (eacluding land) : $ `7��{%�.! <br /> r hereby apply for a building permit and I acknowI.edge that the information <br /> �bove is complete and accurate; that the work will be in conformance with the <br /> ,�rdinances 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 /> �hat the work wil.l be in accordance with the approved plan. <br /> APPLIC�NT'S SIGNATURE: � �.� 'C. -C,C� � DATE: ��'1��� �T�� <br />