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." � <br /> CITY OF ORONO - BIIILDING PER�IIT APPLICATION <br /> Date Received: <br /> Total Fee: $ <br /> Date A�Droved: ' <br /> Entered Bv: Permit� _ - <br /> AT.T• INgORMATION MIIST BS SUBMITTED IN FIILL BEFORE PLAN RES7IEW WII,L BE SgB.RTF.D <br /> (See Check-off List Enclosed) _______r__________ <br /> ------ <br /> --------- -------c-rcle ane� OtrTNER o�� ONT.QACTOR <br /> i.� APPLICANT IS: � =� <br /> -.� �/�> � �-- ZSP: <br /> JOB SITE ADDRSSS: � <br /> .���, �.��v--�`"z.`-�� <br /> ` ��� (work) <br /> �-"`� �; �� J PHONE: (home) <br /> WNER: il � "` ��--tz;y j ��/ <br /> NAME OF O � �� � � '' , <br /> v CITY: ZIP: <br /> MATL=NG ADDRESS: <br /> /� /, -, /� � � �� PHONE:`�l�� � � ��� <br /> NTRACTOR. ,i� i�F:,���� �L � - _.'T _ �- <br /> CO �� i ' '` ,���I / <br /> � � � ZIP: � <br /> . ,� �,� -� <br /> � ,��� ��� L '-�� ! . �� � <br /> MATLING ADDRESS: � � <br /> / , � " <br /> STATE LICSNSE: � <br /> PHONE= <br /> ARCHZTECT/ENGINEER: <br /> CITY- ZIP: <br /> MAILING ADDRESS: <br /> REGSSTRATION z <br /> NAME: <br /> Accessory Structure ` Mvve� : <br /> TyPE OF WORR: New Addition Land Alteration <br /> Demo R�*nodel/Alteration Renovate <br /> � ��� ' � ;.c��,�_'� <br /> _ /�� �� ��� �- y, <br /> PROPOSED WORR (describe in d,etail) ' <br /> . <br /> ,. <br /> ,- , <br /> , _ ^ <br /> ; <br /> �.- ; ���, � �7 � - ��� , <br /> � . ` n ' <br /> . ; <br /> ' ✓; <br /> STORSES: SQ. FE,ST OF EBCH FLOOR: <br /> NO_ OF BEDROOMS: G�RAGE ST�S: ATT. DET. <br /> ESTSMATED CONSTRIICTION VALIIATION (�ciu�q I�d) : $ <br /> I hereby apply for a buil.ding p <br /> ermit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conform C de;'�ith t e <br /> ordinances an d co des o f t he C i t y and with the State Building e�it; and <br /> understand this is not a permit and work is not to start withou t a p <br /> • • ce with the aporoved pl�n- <br /> � _ . _ _. <br /> that the work wa.I.l be in accor an / . <br /> �- � ,, ` ��/__ �l�j/ <br /> ,;j �.. � ��.�`°-�=� , DAZ'E: -)�_ / 1 <br /> APPI.SCANT'S SIGNATURE: ��� <br />