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• CITY OF ORONO - BUILDING PER�SIT APPLIGATION <br /> 1 Fe2: $ J � d /� �'� Date Received:�/� l�`-J�' <br /> � <br /> Date Approved: <br /> ntered By: ��: �� <br /> Permit n: <br /> AT•T• INFORMATION MIIST BE SIIBMITTED IN FIILL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one ) O��NE r CONTRACTOR <br /> JOB SITE ADDRBSS: Z�og� LY���IlZ� ,��_��ND ZIP: SS3� � <br /> (wo rk)�.�'3�`%7 L�7 <br /> d <br /> N� oF owrr�: ;��it'�� lfA�� �) ;i�Jni�F(� � f��G�t:� PHorrE: (home) �17/ -�'1C�.)�;C� <br /> MAILING ADDRESS: Z(s��C�i� L�(t�l fl12D H(.�t • CITY: �X[`�C%/C)i^�, ZIP: ���:�/ <br /> CONTRACTOR: CFlI St"y �Ut91�k/I�IS PHONE: ���7' BU���� <br /> MAILING ADDR.ESS: ��/7.5� �AGA.��'�(/� �/D< CITY: �/��L��iQG�.C� ZIP: .S.S'/ Z-`l� <br /> STATE LICENSE: tt <br /> ARCHITECT/ENGINEER: {/f�1LL;(�S /"�H/�//�//V�r /�"T�9` PHONE: �{,3Z-- ZQ�{� <br /> MAILING ADDRESS: �yZS� ���.�,(�7� A'Uc �f(JY CITY:��(,�(�11LLf��NI� ZIP: S Z <br /> NAMF.: �-S�M REGISTRATION # <br /> TYPE OF WORR: New � Addition � Accessory Structure Move <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> PROPOSED wozix (describe in detail) : 7�,yvz Dot.�iv (�,2�+6�" �l�u�«�� ���L7'!� <br /> Aiv A�DI�-�o�v o�v 7�p C�nl�c��-cr�Y �"O 1!�/ 1�i7-i�,�c ��/ �1�,�5�' rsy A S�-f�u/�f� <br /> STORIES: Z SQ. FEET OF EACH FLOOR: Z��+' �io� A� {?U/1 : L 5 I ��S S�. ♦'E <br /> NO. OF BEDROOMS:_� GARAGE STALLS: ATT. 3 DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (excluding Iand) : $ ��('�U <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 in accor ce with e approved plan. � <br /> APPI,`ICANT'S SIGNATORE: DATE: Z/ <br />