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� <br /> CITY OF ORONO - BIIII,DING PF,�2M.IT A.PPLICATION <br /> `,�-6�a1 Fee• $ � t Date Received: d - ��- I.� <br /> Date Approved: <br /> Entered By: � <br /> Permit�: � �3/ <br /> �L INFORMATION MIIST B$ SIIBMITTSD IN FIII�L BEFORE PI,AN REVIEW WILL Bg STARZ'EL) <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> I'HE APPLICANT IS: (circle one) OWNER �� RA� <br /> JOB SITE ADDRRSS: � ���J Fo�c S-� ZIP= s S 3�( � <br /> (work) <br /> NAME OF O WNER: ��ti l.��� v- t,L.�.--'��....-, C.c�-��cv-.r�- PHONE: (h om e)�7� -�a�(� <br /> 2�iAILING ADDRESS: f��{G -�oyc � CITY: (,.��-�-z1vQ--`, ZIP: s S 3�C ( <br /> CONTRACTOR: ��.�.�.•r-�- I�e•A.S�-• C..o --4-`>-�- PHONS: �j 3� -�`-� � � � <br /> P�ATLING ADDRESS: ��.,F�0 �,w.��-�o a�-E-���I�: ��-1,.�-�'� zzP: SS�I-�- �'> <br /> STATS I.ICENSE: � � � � � <br /> ARCHITECT/ENGINffit: `c..�,� PHONE: <br /> :�:AII.ING ADDRSSS: CITY: ZIP: <br /> �*?�: RBGISTRATION n <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo__�_ Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �.w.�o �,�;��4-,�...�, �o` S[ (p` iQ�-{,�, _ <br /> G....c� u-�I...�.�..,�---fa�...� — <br /> STORIES: SQ. FEBT OF EACH FI�OOR: _ <br /> NO. OF BgDROOMS: GARAGE STALLS: ATT. DET. <br /> �STIMATED CONSTRIICTION VALIIATION (eaclnding Iand) : $ j�fs0, 0 O _ <br /> = hereby apply for a building permit and I acknowledge that the informatian <br /> �bove is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> tnat the work will be in accordance with the approved plan. - . <br /> APPLICANT'S SIGNATDRE: DATE: � ,,3'� ` S - <br />