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. : _ - <br /> CITY OF ORONO - BIIILDING PER��iIT A.PpI.IC�`iT'ION <br /> • Dat� Rece?ved: <br /> � ��% L�' — <br /> iotal. Fee: � - <br /> Date A�nroved: � <br /> Entered Bv: �-��� Fermit�:�,/ ,��� � � � -__ � <br /> � � _ <br /> � . <br /> �Z INgpgM�TION MIIST B$ SUBMITTED IN FIIL-I� BEFORE PLAN R��7IEW WII�L BE Sg��� <br /> (Se� Check-off List Enclosed) <br /> _ --- ------(circle one) - Oi�.iER ar CONT.qACTOR <br /> �gg APPLIC�NT I5: <br /> Jos sITE ADDRSss: 1G-�''� t��('t�si �N�'6'e 1���E zIP: <br /> (work) <br /> ' PHONE: (horne) <br /> i7AME OF OWN'�: <br /> Ct� ,`�EP�,t,L <br /> CSTY: ZIP: <br /> i�AIZIxG A.DDxEss: /v(rk�-K NEuctY�t .��1 � IS�u /�•tcf�,�E <br /> plws�zr M��� <br /> C �5'�I�C(. Ki Tz.cX�'�'s C��Y PHONE: S�' �S�' f�irf'b�k. <br /> CONTRACTOR: �'-��Z 7 <br /> C,L�� �• �-h��tu=� ���"( _ cz�: C��'c+�;� l,/,�.�i:Y zzP: <br /> Mp,ZT ING ADDRESS: ` <br /> .�Z����1 <br /> STATE I�IG`�SE: = <br /> PHaNE= <br /> ARCHZTECT/�G=N�ER: <br /> CITY: ZIP: <br /> MASI�SNG A.DDR.ESS: <br /> FtEGISTR�TION 4 <br /> NAME: <br /> Accessory Structsre Move � <br /> Z,.YPE �g wpgg: New Addition Land Alteration <br /> D�o R�*nodel/Alteration <br /> Renovate <br /> ,��'C�'�-'� �f�`'ti'L�l_ <br /> PROPOS� WORR (describe in detail) : <br /> STORSES: SQ. FEET OF EACH FLOORs <br /> NO- OF BEDROOMS: <br /> G��G� STA7.T,g: ATT. DET. <br /> �� �� . �.-�� <br /> EST2MATF.D CDNSTSUCTION VALUATSON (eaclndinq <br /> l�a 1 = $ � � <br /> ermit and I acknowledge that the izsformation <br /> Z hereby agply for a building p . that Z <br /> above is complete and accurate; that the work will be in conformaCn�cdewith t e <br /> ordinances and codes of the City <br /> and with the State Building e�it; and <br /> understand this is not a perntit and work is not to start without a p <br /> that the work will be in acco ance wi the a proved plan. _ • ' <br /> / ......_.- <br /> �/ �" .���� <br /> DATE- <br /> APPLICI'�NT'S SIGNATO�: <br />