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� � <br /> , CSTY OF ORONO - BUII.DING PERMIT APPLICATION <br /> Date Received: Jt � �- � � <br /> Total Fee: $ ��� .5D . <br /> Date Apnroved: <br /> � Entered By:�,��1 Permit�: � �� <br /> AI�L INFORMATION MIIST BS SIIBMITTED IN FIILZ BEF�RE PL�N �vl� �I'I' B$ STARTED <br /> (See Check-off List Enclos�d) <br /> ------------------ <br /> -------------------------� <br /> ,�.�-_--=__��-�-------------------------- <br /> THE APPLICANT IS: (circle one) O<<TNER CONTRACTOR <br /> JOB SITE ADDRSSS: ���� Gc GO lJ 1 Y1� 6� <br /> ZIP: �J � -��/ <br /> (work) <br /> NAME OF OWNER: �R�l���"��2 �Y �� r� PHONE: (home) <br /> MATLING ADDRESS: oc Da� �tZs C_�� �� 1� CITY: We'� �-� ZIP: �� / <br /> CONTRACTOR: c� n � �� � �"��r�� r S PHor�: t� I � -`��� -�a��� <br /> MATI�ING ADDRESS: o�� f�" ot J��S� CITY: ZIP: ��7 �/ <br /> STATE LICENSE: # � n�� a9�7 � <br /> ARCHITECT/ENGINEER: <br /> �erin �h� PHo�: ��a_�9� c�o�.� <br /> ' ./ L � '� ZZP: �.�l�%� <br /> MAII�ING ADDRESS: g�� V�/QST � �l/ CITY:�,�G3 G�� <br /> NAME: ��t/� �S �(1// �I � C'�f' (� REGISTRATION T ! l ( � <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo RemodeljAlteration� Renovate Land Alteration <br /> PROPOSED WORK (describe� in detail) :� a • ?�F'�'✓ �%Rf'"�19�C�lOC'r` <br /> � <br /> i L ' Yl �G- � �v/^ r f <br /> -. <br /> STORIES: SQ. FEF:T OF EACH FLOOR= <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �,C� <br /> / � <br /> ESTIMATED CONSTRIICTSON VALIIATION (ezcluding I.and) : $ (i� S�� <br /> I hereby apply for a huiiding permit and I acknowledge that the information <br /> above is complete and accurate; that the work 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 /> � , ,q D <br /> APPLIC.�NT'S SIGNATIIRE: ��i'�C/ti�Z tiE��2�? DATE: �'�� ��(/ � <br /> � <br />