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�� � � CITY OF ORONO - BIIIZDING PERi�LZT APPI.ICATION <br /> r <br /> Total Fee: $ � � �' � / Date Received:,,? - aZ 3 �� 3 <br /> Date Approved: �' �lp - � .3 <br /> Entered By: ' ,1 <br /> —� Permit�: `7� 7 �j <br /> �LL INFORMATION MIIST B$ SIIBMITZBD IN FDLL BEFORE PI,AN REVIEW WII,L BB STAR�ED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> T� APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SSTE ADDRSSS: �Y �v �vn� ��I�. ��vr� ZIP: �j .�35(0 <br /> (work)S93 � 7�i '1 <br /> NAI�: OF OWNER: �rov s�-�rr��te�S �v� PHONE: (home) �7 `�- �850 <br /> HA.II,ING ADDRESS:���O Lt�✓tc., L a�C� �l vc� CITY: 0 r-o v�o ZIP: ��3 S� <br /> CONZ�CTOR: �/s� PHONS: ��� - ��'O <br /> MAII,ING ADDR$SS: ��J�D L vr�y, ��,� /��✓c'� CITY:Q,-o►� ZIP:�3SCo <br /> STATS LICENSE: � <br /> ARCHITECT/ffi�TGINEER: ,�r=.�t,�I /�.4 C S z'l PHONE: <br /> MATT•ING ADDR$SS: CITY: ZIP: <br /> N�: RBGISTRATION � <br /> TYPE OF WORR: New Addition,� Accessory Structure Mone <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSF.D WORR (describe in detail) : �, i3�,_ �� � -G) -�'*�^� _ <br /> STORIES: 2- SQ. FEBT OF EACS FI�OOR: � � � <br /> HO. OF B�ROOMS:_� GARAGE ST�LI.S: ATT. DET. �� � <br /> ESTIIKATED CONSTRIICTION DALIIATION (eaclnding land) : $ _ //vV . �� <br /> 2 hereby apply for a buiI.ding 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 penait; and <br /> that the wcrk will be in cordan with the approved plan. <br /> APPI.ICANT'S SIGNATQRE: ----- DATE: 2. ''Z 3�- �7.�j <br />