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~ , CITY OF ORONO - B�ILDING PEI2MIT APPLICATION <br /> 4 Date Received: <br /> Total Fee: $ ' ' Approved: <br /> Date <br /> ' Permit�: '�' '`. y' <br /> , <br /> Entered By: � ' <br /> BEFORE PL�N 1�vIEW WILL B$ STARTED <br /> AT•T• INgpgMp,TIpN MDST BE SIIBl''�I�D IN F�' osed) <br /> (See Check-off List Encl ----- <br /> --___�--- <br /> ----- <br /> ------------------------------------ - <br /> _____---- �y�Eg or CONTRACTOR,� <br /> �gg p,PpLICANT IS� (circle one __- <br /> ---- <br /> , •e s <br /> �C� . ZIP: <br /> JOB SITE A�DR�SS: ���� � (work3 <br /> � pgpNE: (home) <br /> ` � � z <br /> NAME OF OWN�: � 1�'� � � ��YZY1��._ ZIP: <br /> MAILING ADDRESS: <br /> I U-��—'C��i� e,c-�. 1�7^e�s ►c� . cz�: <br /> ' PsoxE: �3�� ���� <br /> I/�,�� r,-N i�i.�.�r �-�m5►� �� � ..-_ <br /> CONZ'RACTOR= ZZP: ���3� <br /> � ��, c,v,e_s cr. • cz�: t;'Yli►�y�lZv�l�c�. <br /> h+SATLING ADDRESS: \ <br /> STATS LICENSE: � �(`��� ���� <br /> � �o k�l A;Inf' `17►'�S�VZ��'��'1� PHONE: <br /> ARCHITECT/ENGINEERs �'��j x-�'� <br /> MAILING ADDRSSS: � �U � S c�� <br /> GYf,' CITY: ZIP: <br /> , �� � ��,. RBGISTRATION � <br /> NAME: �%'�C <br /> Structure Move _ <br /> Addition Accessory — <br /> TYPE OF WORR• New — Renovate Land Alteration__ <br /> Demo . Remodel/Alteration_�_ <br /> '� , S � �C�;'�, I,�-n(.�1`"` G'�.,�-�: . <br /> PROPOSF.D WORK (describe in detail) : ��-�� <br /> STORISS:�_ s4• FEET OF EACH FLOOR: <br /> � GABp,GS STAIZS s ATT. DET. _ <br /> NO. OF B�R�M�: � <br /> NSTRIIC'PI�N O�IIATION (eaccluding Ia-nd) = $ � "�� �--�""" <br /> ESTIMATED CO ,,. <br /> Z for a building permit and I acknowledge that the � <br /> I hereby aPP Y � ,,n <br /> above is complete and accurete�i�haandhw th thelStatelBuild n�`a���.�� <br /> ordinances and codes of th y lan. <br /> understand this is not a permit and work is not to start with�ut -�. k <br /> that the work will be in accordance with th approved p <br /> � <br /> J �J�/�' � DATE: `/� <br /> (� � � � � l..� �, <br /> APPLICANT�S SIGNA�= r <br />