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� <br /> CITY OF ORONO - BIIILDING PER�iIT APPZ�IG�TION <br /> � Date Received: <br /> Total Fee: $ <br /> Date A�nrove�: � <br /> Entered Bv: lrv Per_nit� ��� - . <br /> AT.T• IN'gORMp,T=ON MIIST BS SUBMITI'�D II`7 FIILI+ BEFORE PLAN RE�7IEW WII.L B$ SZ��RT� <br /> (See Check-off List Encl.osed? ________________ <br /> �E APPLIC�NT I5�r �c' rcle ene)---at��� or CONT_�ACTOR <br /> '� � � ZSP: <br /> � ` c�, �'!J<1�� � �� - <br /> JOB SITE ADDRSSSs ��'�� �y � � G� -� <br /> (work) l �,_-� ��> <br /> N� OF OWNER: ���z� � ����� ����1� <br /> P30NE: (horne) ��C,� --��� ����� <br /> ���G � ���l��l 5���- � zzP: 5�`12-Y <br /> ,� cz�: � `� � �t�A-- <br /> MATZ�ING ADDRESS: � , <br /> � , � �-�c <br /> � �M �� ( <br /> ` � ,�{ � PsorrE: �� 2 Z � �.:� 7 � _ <br /> C�NT.RI�CTOR: L; u � � , 'n ZIP: �. `��� _ <br /> M A�T. <br /> ING ADDRESS• � L I I L Lr�-� �t'IGCZXL��Z CSTY: ��1 I�-�V�' <br /> i <br /> STAZ'E LIG.�'NSE: � �L%G � \ v� � <br /> PHONE: <br /> r�RCHZ 2'E CT/�G INEER: <br /> CITY: ZIP: <br /> MAILTNG ADDRESS_ <br /> REGISTR.ATION z <br /> N�- <br /> Accessory Structure Move � <br /> TYPE OF WORR: New Addition Land Alteration <br /> De�o <br /> g�*nodel/Alteration � Renovate <br /> � ��.�,�-�,��� <br /> ` �,�.i� gz�Cl�- .�����,�k <br /> � �sT"��--��, � <br /> PROPOS� WORK (describe in detail) - �-���"�J��- � — � <br /> tS�-' i2�c�.cs; - � r.�v�Z.' �-����r� ,,v�w T� � XNZF � <br /> 1���-' ���-•-� � � <br /> �����q� �, (J 7�4�-�� L, <br /> STORIES s � SQ• FE�T aF EACH EFLOOR: L�}� <br /> �') G�R.AGE STAI�S: ATT. DET. � <br /> NO_ OF BEDROOMS: . <br /> �,� �Q"'�.i!�<�-� - <br /> EST��� CDNSTRUCTION VALIJATSON ��ciudinq <br /> land) : $ G c;�c:�<-� <br /> I hereby apply for a building per�it and I acknowl.edge that the information <br /> - that the work wi I-1 be iu conf ormacn de with the <br /> above is complete and accurate, and with the State Building e�it; and <br /> ordinances and codes of the City <br /> understand this is not a perinit and work is not to start without a p <br /> that the work wi11 be in accordance with the approved plan- . <br /> _ � �� �' � � � <br /> � � � ^ DATE: G� � <br /> APPLICANT'S SIGNATDF�= � �Z" <br />