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. . CITY OF ORONO - BIIILDING PER'-iIT APPLIC�.TION <br /> . , <br /> � �.. <br /> "'ct�i r ee: $ I g � � � Late P,ece�ved: �� � i-S - I.3 <br /> ��, Date P_porove�: <br /> _;tered By: ' ��, y5' • <br /> Pe_�it� � <br />�T,Z. INFORMATION MIIST BB SIIBMITT`SD IN FLTL.Z BEFORE PI�2T REVIEW WII.L BB STARTL'D <br /> (See Chec�C-afr I,ist Enclosed 3 <br />----------------------------------------------_------------------ <br />•�,� A,ppLICANT IS: (circle one) OW,IER or CONTRACTOR��/ <br /> i 03 SITE ADDRBSS: � �� C.he.�`� Una��- �k'7�V� , ZIP: ``� �� �'��! <br /> -,r ; <br /> i .1✓� - <br /> (work) - <br />��'SE OF OWNER: <br /> ANC'�.+C'2J�� GM.d �.�� '�1/\ '�j�'2k,7t�'� PHONE: (home) �I7�i 'O`V.::y� � <br />�zzxc �DxEss: � 33 C�ne� C�na�'..... b r, cz�: v�o-.�z-G-�'� ziP: �..;�,.,��,,� ? <br /> `° ��fo <br /> • ('j.l,l° C'o�-slc��.���,�r�. �Cjex-o.Qc1 � , '�'r'c'au.�,X „} P$oxE: �3 FJ' <br /> �N�CTOR. <br /> ��z��� �D�SS: y.��r ,��e. ,D�;�e ��: �ob6,�sd�Qe ZZP: 55�Izz <br /> ,.:_�TB LIC.ENSE: � dOQ N��.� <br /> :CHITECT/ENGSN�ER: The Cav���cu.�-�"o� C���''; �6���, PHorrE: 5��� � ��I(c� <br />�szrrrG �DFzsss: -�S13/I ,Lc�.ke ,Qr�e.�e cz�: ��,db��n��cl�QQ zzP: �5�I Zz _ <br /> ,�: -� RSGISTRATSON � �� <br /> ?E OF WOR.R: New Addition�_ Accessory Struc�ure Move <br /> Demo Remodel/A1.teration Renovate Land Alteration <br /> �.c7POSP.D WORK (describe in detail) : I� <br /> -5�n a.�LQ !_�",�elr� /I�lv�-C'o ovY. e���'�o v� �,r� <br /> -��n2 C�a,C' e�r e��5�v.c� 1�ou��. c+�d cd��e.� �o.,t�. E�, �.i,�h -Sc�aier..e. ann�_e,r��r� �(eor-s ,l w��do� <br /> �—�-q—� v <br /> RIES: � SQ. FEBT OF EACH FLQOR: I °�'I� C �d�?'� ��`I , J _ <br /> OF B�DROOMS: � C�ARAGB ST�S: ATT. DET. <br /> no ' <br /> �''SHgTF.D CONSTRIICTION VALIIATION (eacluding land) = $ 8���U <br /> �ereby apply for a building permit and I acknawledge that the iaformation <br /> �ve is compiete and accurate; that the work will be in conformance with the <br /> ,�inances and codes of the City and with the State Building Code; that I <br /> �:erstand this is not a permit and wor�c is not to start without a permit; and <br /> .�� the work wi11 be in accordance with the approved plan. . <br /> DATE: lk� �s— y3 <br /> �ICANT'S SIGNATURE: <br /> i <br />