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CITY OF ORONO - BIIILDING PERMIT APPZIC�TION <br />� � � � <br />� ' � j, �� • Date Received: <br />� Total �'�?= $ � <br /> Date A�proved: ' <br />,� • (/`? C . <br />,� £nte_ed Bv: Permit� �i� 't ( � _ __ . <br />;� - . <br />� BEFORE PLAN RE�7IEW WIT�L BE SggRTF.D <br /> AT,T, INgpRMATION MIIST BS`SUB C�T�D �L�'` Enclosed? <br />� ---------------------------------------------NT_�ACTO---------------------------- <br />� circle one) Ot`TNE� or <br />�. TgE APPI,ICANT I5: ( <br /> � <br />� 3 � �� ��;�y,�s ,��� G,��� z=P: <br />�' JOB SITE ADDRBSSs <br /> (work) <br /> � � �� �������� PHONE: (home) <br /> NAME OF OWNER: /� •'��� ` / <br /> / � ���CITY- �.C.���� ZIP: <br /> MAZI,ING ADDRESS:_j� 3� �/��i1�j r <br /> � �' i%/L���G�_�,/L�� PgON�.� ��-" �f����� <br /> CONTRACTOR•���/Y�5c��� ,�<- /�� �` <br /> . . � 1� C��%�� � cz�: /�,'��S zzP: S s�/% <br /> HATT ING ADDRESS. <br /> STAZ'E LIG�.C.�NSE: � ��v J <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CIT�,: ZIP_ <br /> MATI�=NG ADDR.ESS: <br /> R.EGISTRATION � <br /> N�ME_ <br /> Accessory Structsre Move <br /> TyPE OF WORR: New Addition Land Alteration <br /> De�o <br /> -e.*nodel/Alteration Renovate <br /> PROPOS� WORK (describe in detail) : <br /> �riK7/� ��.�" �.��0��- <br /> STORSES: S4• FEET aF EgCH FLOOR: <br /> NO_ OF BEDROOMS- <br /> G�R�GE gTA7.T.S: ATT. DET. <br /> - �' ���0� ��' <br /> ESTIMATED CDNS�RIICTION VALIIATIaN (ezcludinq <br /> land 1 : $ <br /> I hereby apoly for a building p <br /> ermit and I ac?cnowl.ed4e that the information <br /> above is complete and accurate; that the work will. be in conformacn�cdeu7zth �ne <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 start without a p <br />� - ------ - :�. � - c��/ <br /> that the work will be in accordance with the approved p �- <br /> DATE- ����/ / <br />� APPLICANT'S SIGNATQRE: �' � ��� <br />