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- • R CITy OF ORONO - BUIZ�DING PER�iST APPLIC�TION <br /> D�te Received: <br /> Total Fee: $��J Sb <br /> Date Approved: <br /> � Entered By: ti�� — Permit�: �/8� <br /> TION MIIST BE SIIBI`�IT�En IN FIII'L BEFORE eL�N �vl� �I'I' BE STARTED <br /> AT•T• INF�1�*SA (See Check-off List Enclos <br /> ------ <br /> TgE APPI,ICANT IS--- ( circle one�---�t`R'TER or CONT_RACTOR s�3�� <br /> '�`f3S �r � �A �, �r�.o Nc'� zzP: <br /> JOB SITE ADDRSSS: '� � X� <br /> � (work) �7�'�`�J� <br /> �l ��tu� d c �' 9�186 <br /> �,,f/�f-�P PHONE: (home) `1 7�� <br /> NAME O� OWNERs �� <br /> MATI,ING ADDR-ESS: <br /> ���.�2 �vl-- �',�'ll�L'� CITY: ZIP: <br /> PH�NE: <br /> CONTRACTOR: <br /> CIZ,Y: ZIP: <br /> MATLING ADDRESS: <br /> STATE LICENSE: n <br /> , PHONE: <br /> ARCHITECT/ENGINEEK: <br /> C=,l,Y: Z I P: <br /> MATLING ADDRESS: <br /> REGISTRATION L <br /> NAME: <br /> Accessory Structure biove � <br /> Addition Land Alteration <br /> g*ypE OF WORR: New Renovate — <br /> Demo Remodel/Alteration� � <br /> � �� G�f <br /> - h� l��- -�5� <br /> � � <br /> PROPOSED WORR (describe in detail) = <br /> / SQ. FEET OF EACH FI,OOR: l�� <br /> STORIES: � <br /> NO. OF BEDROOMS: <br /> �/ GAE2AGE STALLS: ATT. DET. <br /> � 3C;� . co <br /> ESTIMATED CONSTRIICTSON VALIIATION (��Zud�g I�dJ � $ ed e that the informatic: <br />� <br /> I hereby app ly f or a bui lding permit and I acknow g <br /> bove is complete and accurate; that the work will be in conformance Wlthath� <br /> a and with tine State Building Code; <br /> ordinances and codes of the City <br /> - anc <br /> understand this is not a permit and work is not to start without a permit, <br /> that the work will be in accordan e with the a�proved plan. <br /> ,�!��� � DATE: ���J�G------ <br /> - APPZ,IC�r7T'S SIGNA�'D�E= <br />