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�• CITY OF ORONO - BIIIZ�DING PER�-ST r'�PLIC�TION <br /> ♦ <br /> 4 <br /> . Date Received: <br /> Tota1 Fee: $ � - <br /> Date A�nrovec: <br /> Ent�red Bv- C�l � Permit� �r� �/'`� � - __ � <br /> ''. <br /> BF�FORE PLAN REV=EW W� BE Sg�2'� <br /> , AT,T, INgpgriATION MIIST B$ SIIBMITTF.D SN FULZ •= <br /> (See Chec:c-af£ List Enclosed) _____ <br /> ------------3�--�--------------------- <br /> _ --- ------ ----- ptv'�IE�or CONTR�CTOR <br /> �� APPLIC�NT IS- (c'-�cle ene) �,-- <br /> ' zzP: 553� � <br /> JOB SI� � <br /> Dx�ss: IaS �-(�-�k�(ac-�- �--�l� <br /> (work) 3�-� -&"b� � <br /> 1 ��S b�l�L..-, <br /> PHONE: (home) �1 �-`3�'�3 <br /> ' x� oF owN�: ����t�' � 1���� s� 3� � <br /> 1I ZIP: <br /> ��.: CSZ"y: ti�a-�--�2,� <br /> S �C k--�GY��.t- �'" <br /> ?��.II,ING ADDRESS: I�� �� <br /> PHONE� <br /> CON�t`'�CiOR" ZIP: <br /> CITY: <br /> ��ZZING ADDRESS= <br /> STATE LIC4:7SE_ = <br /> PHONE- <br /> nRCH?TEC'y'/�IGIN�: ZIP: <br /> CITY= <br /> *�iP._iL1Z7G ADDRESS: <br /> R.EGIS�TZON � <br /> NAME: <br /> Structsre Mcve <br /> Addition Accessory • _ <br /> ��E OF W�R-R= Ne� RenovaLe Land Alterat�on <br /> D�,*.�o Re.**lodel/r':lteration ✓� , <br /> PROPOS�7 WOR`� (describe in detail) : <br /> �-k Ltl--� c��,�c�rr--v�-F <br /> STORSES:�� SQ- IIi QF E�Q PLOOR� 1 � L � <br /> .3 G.��EZAG� STAI.I�S: ATm, DE�. 02- <br /> NO. OF BEDRCOMS: � <br /> _AT�...D CDNS�RIIC'?'IoN VALIIATSON (ezcinding land) : $ (P�� �' <br /> EST32� <br /> for a building pe=�it and I aczcnow?edce that the inz°�httine <br /> I hereby '4PP 1-y - that the work wi11 be in conf orm Co�e W1"that T <br /> ; above is cflmplete and accurate, ana Wi`� the State Building <br /> ordinances and codes of the City <br /> ` stand this is not a perrnit and work is not to start without a pe�it; an <br /> under L aa�roved pl�n- ' <br /> : that t_he wor!c will be ia accordance with �e � ' /�' .•D � <br /> „���j�7'� DATE s ` � � <br /> APPLIC�N'r'S SIGNATURE" <br /> L . . .. <br />