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�' CITY OF ORONO - BIIILDING PER�LIT A-PPLICATION <br /> . Date Received: <br /> '�'otal Fee: $ r12� 'l� <br /> Date P.pnroved: <br /> �atered 3y: � ( �'Z ' PermitQ: "1(`U S <br /> AT,T• INFORMATSON MIIST B$ SDBMIT�ED IN FUI.I+ BEFORE PI�N REVIEW WII,I� BB STARTE.D <br /> ( See Check-off List Enclosed) <br /> -------------------------------- <br /> ---- T <br /> T3E APP�ICANT IS- ( circle one) OWNER or CON_RACTOR <br /> ss: f �S ti'. �� L ��� zzP: �S�3�i i <br /> Joa sz� ��u (� <br /> (wo rk) L/!�"�j' -���� <br /> , ., � �'J N-e�L d- ���� ���-�:c�S�� PHot7E: (home) y��-'..���%7 <br /> u� oF owrr�x:S, c <br /> MATI�ING ADDRESS: �i �S /�= - /�/1iv�✓!�'/-.P !�f CIZ'Y: � �G,ti'U ZIP: � 5 3 i ( <br /> CONTRACTflR:� /9'�� l.�'v r�1 /' -1 ��, �,�..P �C� PHON$: LI ��l- 7/+�/ <br /> ?�iAILING ADDRESS: ��c1 571�.-'.�T CITY: ��7C°�C$iu�'C ZIP: �� 3 3 /.. <br /> � <br /> STATS LICENSE: = � �� l <br /> ARCHITECT%ENGINE�t: �``�/1� ('"�}�•,��� �� �/�e� r PHoxE: ���fl' �/�'f <br /> _s:s _ � <br /> ?�AILING ADDP,BSS: `� �G -�'� S/,�c'-!'7'� CITY: �X C-P�.� .u✓/ ZIP: � �� <br /> N��: 5,� � � ��� � R.SGISTRATION A <br /> TYPE OF WORK: New Addition�, Accessory Structure <br /> Move <br /> Demo Re.*nodel/Alteration Renovate Land Alteration <br /> PP.OPOSED WORR fdescribe in detail) : -�/�U '� �r� � '��� <br /> ��� s>Y�-�� /L�� � S�/�'��.�, 9"c�r�� � /'t�-� .!�'�� /�l <br /> STORIBS:�� SQ• FEBT OF EACH FZOOR: �6 � <br /> �O. OF BEDROOMS: �� C�RAGS STAI.LS: ATT. DET. <br /> �STIMATED CONSTRIICTION VALIIATION (eacluding land) : $ �7 QOU - <br /> = hereby apply for a building permit and I acknowledge that the inforr.�atior. <br /> above is complete and accurate; that the wor}c will be in conformance wi�h �he <br /> ordinances and codes of the C_' and with the State Building Co ee�it; anc <br /> ��nderstand this is not a permit an work i not to start without a p <br /> ��at the work will be in �:ccordan w th t appro ed plan. � <br /> ,. <br /> � ��S � � <br /> �,.PPLICANT'S SIGD7ATDRE: e /� DATE: <br /> t..� <br />