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� :.. �.. <br /> ` CITY OF ORONO - BIIIZDING PERrLZT APPLICATION <br /> Total Fee: $ ?`>� iZ� <br /> Date Received: �" �� �� <br /> Date Approved: <br /> Entered B • ' 6��- _ <br /> y' Permit�: (�C� /3 <br /> AT•T• INFORMATION MIIST BS St7BMITT� IN FOLL BEFORE PLAN REVIEW WILI� BB STARTED <br /> (See Check-off List Enclosed) <br /> ---------------------------------------�-,---------------------------------------- <br /> THE APPLICANT IS: (circle one)� OWNER_.-or CONTRACTOR <br /> `- --- / <br /> r' -� �; � ��E�'�i Z IP: :� _5 ��,5 cc <br /> JOB SITE ADDRBSS: ��'�'r--t�� �C�X <br /> (work) �-3< - �_5 l 11 <br /> �@ �ct <br /> NAME OF OWNER- -� j"T"��'r'� � �}�` l'�V�-�`�'�y PHONE: (home) �7-�"'S /�� <br /> HA2I�ING ADDRESS: ��`��= '� �=� S1TLF��CITY: �-�-`-�•'Lj L•�-K�' ZIP: �S 3�(� <br /> CONTRI�CTOR: �" � PHONE: <br /> MAILING ADDR.ESS: CITY: ZIP: <br /> STAT'S LICENSE: � <br /> ARCHI Z'ECT/ENGINEEFt: PHONE: <br /> IKAII.ING ADDRBSS: CITY: ZIP: <br /> N�: RBGISTRATION A <br /> TYPE OF WORR: New Addition�_ Accessory Structure Move <br /> Demo Resnodel/Alteration Renovate Land Alteration <br /> PROPoSF.D WORR (describe in detail) : ����� ��'�'�' � � d��� � �� <br /> i��'� k c--� l� �� 5� <br /> STORZES: SQ. FEBT OF EACH FLaOR: <br /> NO_ OF B$DROOMS: GARAG$ STAI.LS: ATT. DET. <br /> g,ST12�SATED CONSTRIICTION VALIIATION (eaclnding land) : $ �?�'� � • �'r <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above 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 /> that the work will be ' accordanc with the approvec3 plan. . • <br /> �PPLIC�NT'S SIGNAZ'ORE: � Yl{J� � 'L'Y�t�-_/ DATE: '7� 1 � <br />