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� '� CITY OF ORONO - BUILDING PERM.IT APPLICATION <br /> Tota.I Fee• $i� '' 1c ! � Date Received: %� ,����5 <br /> Date Approved: <br /> Entered By: � �'� <br /> Permit�: ';'��-� <br /> AT,7• INFORMATION MIIST B$ SIIBMITTSD IN FIILL BEFORE PLAN REVIEW WII.L B$ STARTED <br /> (See Check-off List Enclosed} <br /> -------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> } �i� \ <br /> JOB SITE ADDR.BSS:��(,� h �_1 �f�-� ��"\t�N�,� �� ZIP: <br /> � <br /> (work) �� ��-��' <br /> I � , ,� t <br /> N�ME OF OWNER: �`���� � ����11v� PHONE: (horae) j - `zC,Z <br /> MAIZ,ING ADDRESS: CITY: ZIP: <br /> r�{�.C�� /`�'1�� C� .�-�r.�,�; <br /> cora�c�rox: ���1�T N���� �j(�: PHorr$: `�� �-Z2.`Z-� <br /> MAILING ADDRESS: �� �OG �'I� ��-II D. CITY: '���l�� ki �� ZIP:�/)j�"l�V'"�(�C`0 <br /> STATS LICENSE: � `2��;'L z� �'��,k <br /> �cHz�c�/��irr�Ex: �'���- ,SS� �"" PHorrE: <br /> MATI�ING ADDRSSS: ) �� �7� �r'1 • 4"-/�C��-��C��� CITY: ZIP: <br /> Z,J�: RSGISTRATIOA $ <br /> TYPE OF WORR: New Addition� ' Accessory Structure Mone <br /> Demo Remodel/Alteration�_ Renovate Land Alteration <br /> r.. , �'", �c�,.� r�1�. \� -y�� r� ' <br /> PROPOSED WORR (describe in detail) : �;` "� l�-� ��,11��v l`������� ���Y✓� -'��'`��'�) <br /> �' ��� �-,�� `�`��-�C��v�� ���'�i�C�� � <br /> � . <br /> STORIES:_�, SQ. FEBT OF EACH FI,OOR: <br /> NO. OF B$DROOMS:�;_ GARAGS ST�LS: ATT. �% DET. <br /> - (�� `� �'�;'�'. <br /> �sT�� coxs�.zQcrzox v�uATzox (eacluainq Iana) : $ �� ' �� L��` <br /> I hereby appl.y for a building permit and I acknowl.edge 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 i accordance with the ",pproved plan. � <br /> R R / /) [/� <br /> I ` r i � � ' �.� J <br /> '� ; i � �,�,� �'� � ` _ � '2�- <br /> APPLICI�NT'S SIGNATURE: . J ,�-j �'w�, DATE: <br /> \J <br />