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CITY OF ORONO - BIIILD'Ic�G PER�iIT APPI,ICATION <br /> �S � � � Dats Received: <br /> Tota1 Fee: $ - <br /> Date A�nroved: � <br /> ,�� - - - � � � ,; . <br /> Entered Bv: Per.nit� `' - __ - <br /> AT,T, INgpgMATION MIIST BS SUBMITTED IN FIILL BEFORE PI�N RE�7IEW WIZ�L BE Sg�RTED - <br /> (Se� Check-aff List Enclosed? <br /> ------------�---_---------- <br /> --- <br /> _ ------------(circle one) Ot�7�iER or �CONTg.ACTOR�' <br /> Tg.E AFPLICANT IS: �- <br /> � c� ��, ,� ��;�/� �s��cJ�,� , ZIP: <br /> JOS SiTE ADDR.SSS: <br /> � (work) <br /> PHONE: (home) <br /> ��ME OF OWNE-`;s <br /> CITY: ZIP: <br /> MATZ,ING A.DDR.ESS: <br /> i � J PHONE: `�% z � -�� <br /> OR: �-'i��� � �' � , . �, ` <br /> CON�CT S f (,�= <br /> �J � ' I � �� ;� �`f'�ZIP: ._� 'L <br /> ./' ""� _ (.�C.�. �,� r7 <br /> �-� ��:�1��' ��.i!�� 11�i . CI`I`Y I ,� <br /> M.AII,ING ADDRESS: ��� <br /> STAZ'E ZIC�.NSE- 7 �7 � I <br /> PHONE: <br /> ARCHZTECT/ENGINEER: <br /> C=�.�,: ZIP: <br /> MAIZING ADDR.ESS: <br /> REGIS�RATSON a <br /> NAME: <br /> Accessory Structure riove � <br /> TyPE OF WORK: New Addition Land Alteration <br /> Demo <br /> ge.*nodel/Alteration�_ Renovate <br /> � � <br /> �� ;,�, � ` ` � ! � <br /> PROPOSED WORR (describe in detail) : � �` <br /> ( ' ,� � `, <br /> ,� r� �: � �,�,� �5 , � � <br /> , �� ��� ����, �'��� �' r' �� �e 'S <br /> i �-C l��( �,; l,-;' �� > <br /> \��✓ �" <br /> %t� /-�,��� �G�rr")-s c� � <br /> STORSES: / SQ. FEST OF EgCH FLDOR: <br /> � <br /> NO_ OF BEDROOMSs _ <br /> C�gAG� ST�Z,I�S s ATT. DET. <br /> ,.. � '.... <br /> � , �, <br /> ESTIMATED CDNSfiRIICTION VAI.I7ATSON (eac�ndi.nq l�d 1 : $ � `> � <br /> ermit an d I ac k n o w l e d g e t h a t t he information <br /> I hereby apply for a building p that T <br /> above is complete and accurate; that the work will be in confor�C dewit h t e <br /> ordinances. and codes of the City and with the State Buiiding e�it; and <br /> understand thi.s is not a permit and work is not to start without a p <br /> that the wor}c will be ia accordance with the approved pl.an- _ . <br /> , _ .� ` �. <br /> ' DATE: � <br /> yr . , ;�%' ; �� c� <br /> �PzzcArlT�s szcrrA�: �� �%�� � � <br />