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� CTTY OF .ORONO - BIIZLDING P�R.2�LIT A-PPLICATION <br /> � Date Received: <br /> �atal �ee. $ � � `�-� � �` <br /> Date A��roved: <br /> E�tered By: � " �' — pe�-mit A: '! �7 �* <br /> �Z, INFOR�iATION MIIST B$ SUBMITT� f ��tB���sed� �V�� �� BB STARTED <br /> (See Check <br /> ----------^ <br /> --------------------------- - <br /> `y'� A.PP�ICANT IS: ( circle one) OWNr�R ar CONTI�ArTGR } <br /> A/ �C ZIP: � <br /> JOB SITE ADDR$SS: ���0 /�� � �"�r'� �a 4 , <br /> �O � _� i3Lae�i i �1�n.t. t'u..-� �c� Lcwu� �c�4-r . (work) <br /> I <br /> x�.� oF owN�x: .z ��S(✓�t>✓� C�c� ��u-•-���� �.+.-L . PHoxE: (home)1�Z� �/��/ <br /> � . a��S c�� CITY:�li3O��v✓'�'�-t• %/�n ZIP: �3 3// <br /> I�AII�ING ADDRESS: 77�-5 ��� � <br /> - i.s 7 .� •i-c c�S, <br /> h� S �v�v✓n �c�^�uv�i�1 �H C . PHON�: ��o,�,- � --�i�-�� a��, <br /> CUNTRAC'I'OR s �0. — - <br /> ?��SZING ADDR�?SS: 7 7 ��f`��CUr,J �u.�u CITY: �`�Q � �✓c�t-�r 11�„ZZP: �S 3/�/ <br /> STATS Z,ICENSE: ;� �� `� '1� , <br /> '- � �� PHoxE: j-S-3 - �'G �o <br /> �r:ZCHITECT/ENGI�' J L�n� ✓�^� �-f ' . <br /> ���G t�'i�'.�t/�1 ./��., .ZIP:_���-�/l/ <br /> :��ILING ADDRBSS: ���/ %�✓•-rl r�ck / c�,-•-r . CSTY: ����, <br /> �iT <br /> 1l <br /> RBGISZR�TION ` ``� <br /> wTr�: �v�c�c <br /> TYPE OF WORR: New� Addition Accessory Struc�ure <br /> Mcve <br /> Demo Re.�odel/Al.teration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : �'vri���G/?�1� C�J-1�-''u- �"�i� T � - <br /> STORSES: <br /> / sQ. �sT oF �ca FzooR: �D l� � ST �~`� � cr �q — <br /> :d0. OF BBDROOMS: � GAR1�G� STALLS: ATT. � DET. <br /> Gac_ , <br /> . ? C pcce, <br /> ESTIMATED C�NSTRIICTION VALIIATION (eacluding Iand) : $ J l� <br /> ; hereby apply for a building permit and I acknowledge that the infor:naticn <br /> above is c�mplete and accurate; that the work will. be in conformance with tne <br /> e-dinances and codes of the City and with the State Building Co eZ�it�aand <br /> uz:derstand this is not a permit and work is not to start without a p <br /> �:at the work will be in accordance with the approved plan. • <br /> _ � �J � ,J, <br /> p T`S SIGNATUFtE. ��-'���""�" DATE: �- <br /> �.P�LICAN <br />